696V l2 Q LOT NO. #32
NO. STREET Idlewild #2880
® k:•s `� OR APPLIANCE PERMIT
OF CUPERTINO
f EB
'2 Z �;6 196 ----- Permit No.(15:.q L
CITY Of CUPERTINO Fee i1
Application is hereby made to the City of Cupertino for a 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.
Use of Premises Re e .
u
Owner Rousseau Org,
SAN CARLOS SHEET METAL WORKS, IN
By
z5n Nr
�pj.AN CARLOS, CALIFORNIA
Address582 Market St,
Addressan r cisco
Approve
PLV ING INSP�OR
-------------
Type of Appliance Units Fees I�
Rem_
aFks (Cheek ✓)
New
Replace Relocate
Gds.Ranges
Wall Heaters
G?s -Plates
Circulating Heaters'
Furnaces
��
7(
Gas Fired Boilers
Gas Fired I
�
Warming Ovens �)
Percolators
Grimm
ASteam Tables.
'Gravity Furnaces
Suspended Unit
II
Floor Furnace
Miscellaneous
TYPL)
F(NAME
pp tante ees�jQ��i
Inspected and Approved �o�/ ;. ... ..OR
TO
:You are hereby autl
Owner or Tenant .....
At......
GAS, SERVICE TILE
BUILDING or NSPECTO4 s ICE
CITY CUPuR
X
.................... /4j/ ... 9 ....... ......
No. of Meters ------
No. of Add. Meters
110 7/61-500
to
GAS
•QWFICE
-COPY
11
196.. .1
New Service ........
Reconnect ..............................
Move Service ........................
Move Meter ..........................
------ ------
PLUMBING INSPECTOR