1725 59act #3442
COT NO.
N
O. Ta6� Oak Del Ranch
A ION - R APPLIANCE PERMIT
�ITY OF CUPERTINO
1964
Date VUUL 196----- Permit No. �J
GO OF CUPERT�I , Fre= 5
0
r-1 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 f:ode of the City
of Cupertino, and all other laws applicable thereto.
u
v Res .
Use of Premises
u
y Owner Duc & Elliot_ Address1408 N. Winchester
San ose
San WADS Sheet Mptal works Address
779 Of a County RoadCONTRA c�TOR, AGB r
t1 San uajms, 791-2 05 Approve
." PLUMBING INSPBCTOI
Remarks (Check ✓)
Type of Appliance Units Fees I New I Replace Relocate
Gas Ranges II 1 I
Wall Heaters I
Gas Plates II I
Circulating Heaters I I 1
Blower Furnaces 3 1 -1xq r I I
Gas Fired Boilers 1 1 11 1 1
Warming Ovens 1 1 11 1 1
Percolators 1 I I I
Griddles I I 11 1 I
Steam Tables I 11 I I
JGravity Furnaces
Suspended Unit _
{Floor Furnace 1 1 11 1
I I II I
Miscellaneous I I 1
r (NAME TYPE _
�� 4 zit: I �• _`ll I
11 Outlets 1 2.75 I 1
0 %..OPEM 1
pp lance Fees
Inspected and Approve . ...�.� ..: ..........................................
DATF. INSPECTOR