1716 �� I �� 7 Tract #3442
ly 3
LOT xo. 50
NO. H Oak Dell Ranch
ONt,�R APPLIANCE PERMIT
E3 /MAY 12 1964 1,OF CUPERTINODate 5/8/� , 194... Permit No.
co F CUPERT:�'t' Fee $co
7�
0
Application is hereby made to the City of Cupertino for a permit to install
r-I 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.
c
Res .
Use of Premises
u
rn Owner Due & Elliot _ Addressl408 N. Winchester
an Jose
3arft .1.. Sheet Metal Ini Address
aITQSJTIGCTANc A
C NTRACT00., AGENT
779-Old Countyl Road 591�-2-60-5 Approve&6L'"tz-
QVI
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sao a $, lu
Uanitna PLUMBING INSPECT
Remarks (Check J)
Type of Appliance Units Fees I New Replace I Relocate
Gas Ranges 11 1
\ .a.ll Heaters
Gas Plates 1 11 I 1
Circulating Heaters
Blower Furnaces 11 1111 X I I
Gas Fired Boilers 1 1 11 I I
Warming Ovens I 11 I 1
Percolators
Griddles II
Steam Tables 11 1
Gravity Furnaces _
suspended Unit I II
Floor Furnace I 1 11 I
Miscellaneous 1 1
NAME TYPE)
3--T°�--Atr Oun11 1
2 Vents 1 12.0011 1
11 outlets 1 12.7511 1 _
• � noll1 I
Appliance Fees t
Inspected and Approved ..t. . .�...... ......1. .. ............................
ATF. INSPECTOR