1714 /6��/ O �,� l8
4I1,�g�.t � 2
LOT NO. 4
NO. MEET � Oak Dell Ranch
® T•t:Q R APPLIANCE PERMIT
OF CUPERTINO
MAY 1 0
Datelq
196----- Permit No._1.1.
cc CITY OF CUPERT'NO Fee : 16cc
°=
Application is hereby made to the City of Cupertino fora permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
u
a
Use of PremisesReg ETio
Due & ZZIMM 1408 N. Winchester
n Owner _ Addressgan dose —
San Carlos Sheet Metal s
77? Addre
CONTR CTOR, A E
Sar� sLl�ps, California �'ql_2 i Approve
PLUMBING INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees New Replace Relocate
Gas Ranges I 1I I I
Wall Heaters 1 11 I I
Gas Plates II i
Circulating Heaters 1 I1 I I
- Blower Furnaces 1 ]_ 1 1.od1 x I I
Gas F� ired Boilers I I f
Warming Ovens 1 1
Percolators
-Griddles
Steam Tables
,Gravity Furnaces I I
'Suspended Unit i II I
Floor.Furnace 1 II 1
I II I
Miscellaneous 1 I ii 1
NAME TYPE) 1
On Air On}.
ons 1 1 1
12 Outlets 1 13-OQ1 I
Foo 1 2.0011 I _
Appliance Fees
Inspected and Approved . ... ..1 ..: ,...... .........................
ATF. INSPECTOR