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1706 © /7/ tp (Tract #3442 LOT NO.J 0 NO. STREET VOakdell Ranch AP A'yQMn FQR PLIANCE PERMIT CITY 0 UUPERTINO ! MAY 12 1964 W) Date 5/8/64 , 196..... Permit No. co CITY OF CUPERTI:l" Fees Go Application is hereby made to the City of Cupertino for a permit to install ra gas appliances as listed on the reverse side hereof, and agrees to install said H appliances in accordance with the provisions of the Plumbing rode of the City of Cupertino, and all other laws applicable thereto. • u ' C aUse of Premises Res. yDLIc & Elliot 1408 N. Winchester SaO faeros ee e a or s Address 7AY81d Count; Read Address SsUarlos, Calif fiR�$"�91R, A EN Approved (t011e PLUMBING INSPECTOR Remarks (Check ✓) Type of Appliance Units Fees New I Replace Relocate Gas Ranges 1 I II I 1 Wall Heaters I I I 1 Gas Plates II 1 Circulating Heaters 1 II 1 Blower Furnaces 1 1 1 1.00 R I I Gas Fired Boilers 1 11 1 1 Warming Ovens 1 1 11 1 I Percolators 1 1 1 I Griddles 1 Steam Tables Gravity Furnaces Suspended Unit (Floor Furnace II I Miscellaneous NAME TYPE) .3 Ton Air Con19 12.oq I 2 vents I 12.00 1 11 outlets 1 12.75 1 pp ;ante Fees Inspected and Approve . .. ... .. ... . . _ f............... ......... ..... F. INSPECTOR