1708 O �9� fi�^�� Tract #3442
4
LOT NO. 42
NO. STRBBT Oak Dell Ranch
P,�.TCn FOR APPLIANCE PERMIT
® CUPERTINO
;I
L) 'MAY 125 — '' , ,��..... Permit No.00
CITY OF CUPERT: Fee : /
o
Go Application Is hereby made to the City of Cupertino for a permit to install
r-A gas appliances as listed on the reverse side hereof, and agrees to install said
H
appliances in accordance with the provisions of the Plumbing r ode of the City
of Cupertino, and all other laws applicable thereto. _
u
HN Res .
Use of Premises
Duc & Elliot 1408 N. Winchester
05 Sa'o a er9 heet MetalWorks — Address Se
71010Id County Road Address
San
Phonelos, Calif&MTp^YR,�,Vd Approved
b 7 PLUMBING INSPB R
Remarks (Check ✓)
Type of Appliance Units Fees New I Replace I Relocate
Gas Ranges 1 11 1
Wall Heaters 1 11 I I
Gas Plates 1 I 11 I 1
Circulating Heaters 1 1 11 1 1
Blower Furnaces 1 1 11,Od1 X-ii
Gas Fired Boilers
Warming Ovens 1 I 11 1 1
Percolators 1 1 I
Griddles 11 I 1
Steam Tables 1 1 11 1
Gravity Furnaces 1 1 11 1
Suspended Unit 1 II 1
Floor Furnace i 1 11 I
I II I
Miscellaneous 1 ii 1
(NAME nae) 1 1 I1
3 Ton Air Coni 12.0011 I
2 Vents 1 12.0011 1
12 Outlets 1 13.0011 1 _
Fee ( 1.2.0011 I
Appliance Fees
Inspected and Approved
TF. I INSPECTOR