1724 LOT NO. 58 act #'34.42
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Q R APPLIANCE PERMIT
RAY 1219641 OF CUPERTINO
Dat 5/8/64 I 0196...._ Permit No.MIT Ur CurtlK
N Fee f / Q
co Application is hereby made to the City of Cupertino for a permit to install
O
H gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing code of the City
of Cupertino, and all other laws applicable thereto.
u
u
Use of Premises Res .
u
y owner
Due & Elliot _ Address 1408 N. Winchester
San CagQS Sheet Metal WAS AddreasSan Jose
779 Old CCOnnty oad CONTRACTOR, AGENT
San Cao"alifornia 591-2605 Approved
PLUMBING INSPELTOk�
Remarks (Check ✓)
Type of Appliance Units Fees I New I Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates II
Circulating Heaters I I II I I
Blower Furnaces
Gas Fired Boilers I I
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit I T-
Floor Furnace I
I II I
Miscellaneous
(NAME TYPE)
—
� I I •"tl I
Appliance Fees
Inspected arid Approved ..... ' .. ...................................
DATE, INSPECTOR