1721 Tract #3442
LOT No. 55
NO v BB�� a anch
rn �rLICATION FOR APPLIANCE PERMIT
CDRfmAY 12 1964 IYi OF CUPERTINO
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Dat 5/8/64 x1196..... Permit No.OF UUFLH1,1
c. CrU
Fee f �O
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 initall said
appliances in accordance with the provisions of the Plumbing lode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises Res .
u
Owner Due & Elliot _ Address1408 N. Winchester
San Carl Sheet M tal Works an Jose
Address
779 Old COUnty Oa CONTa crow, n ewr
San CarIBSPfidllfornla �91-205 Approve
� PLUMBING INSPBCTO
Remarks (Check ✓)
Type of Appliance Units Fees I New I Replace Relocate
Gas Ranges I II I 1
Wall Heaters
Gas Plates I II I
-Urculating Heaters I I I Blower Furnaces
Furnaces
Gas Fired Boilers I
Warming Ovens I I
Percolators
Griddles
Steam Tables
Gravity Furnaces-
Suspended Unit II
_Floor Furnace
I
Miscellaneous
NAME TYPE)
Ton Air Cord I2:Oq
2 Vents I 12.0q I
12 Outlets I 1300Q I _
Fee 1 12•00 I
I VI
Appliance Fees / �—
Inspected and Approved . .. ._�. _� ......._. ,.......... ...
DATF. I INSPECTOR
I _