888 Lm No.' #2 Bubb Road
NO. MEET
rN
lORAPPLIANCE PERMIT
l. 2 4 1962 OF CUPERTINOg8 g
Date 7/�H/(iQ 196..... Permit No.
CITY OF CUPERTINO Fee :cc 9 '
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.
u
C
Use of Premises Ree
(W and OrUMNpO
Owner Camino Del Homee _ Address P 0 Boa 63!}
SR S SHEET METAL WORKS, INC. Address O
77 OL , AGENr
SRhCS, AI�F511A
PLUMBININSP Approved
:GER G��.e-, ✓ ..
Remarks (Check ✓)
Type of Appliance Units Fees II New I Replace I Relocate
Ga,s Ranges I I
Wall Heaters I I
Gs Plates I I
Grcalating Heaters
Blower Furnaces I l 1.5D R
Gas Fired Boilers
Warming Ovens .
Percolators II_
Griddles II
Steam Tables II
Gra?,ity Furnaces I II
Suspended Unit'
Floor Furnace I II
Miscellaneous
NAME TYPE) I
Fee
14 Tnletn— 4.9
(lt.lwta
Tons °n� 1 75
—Appliance Fees t
lcspected and Appro'ved�:/_7�J ..._ .. ..........................__...
DATE. INSEECTOR