1334 �b,/ niGGG�a Tri-plea
Lor No. 1
NO. fj `�� - Tract 3055
011JUi -'NI t N : p Cliffe
L
PPLICATION1 FOR APPLIANCE PER Estates
2 9 1963 OF CUPERTINiO
._ 21r X63 196--.- Permit No 3
Loi i r ui- UUFLK1 �s
Fee f l//�
Application is hereby made to the City of Cupertino for a permit to install
0 gas appliances as listed on the reverse side hereof, and agrees to install slid
,..1 appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertim, and all other laws applicable thereto.
u
ause of Premises R A la
Owner Dean Inglis Assoc. _ Address 2235 Grant Rd
SAN CARLOS SHEET METAL WORKS, INC. LO%414k
1 09
77Address
I�� ANT GE
SA Phonea,_ fA�l Approved
PLUMBING INSPECTOR
Remarks (Check ✓)
Type of Appliance I Units Fees New Replace Relocate
,Gas Ranges I I
Wall Heaters I I
Gas Plates II
Circulating Heaters I I II I I
Blower Furnaces 9
Gas Fired Boilers
Warming Ovens II I
Percolators I it I I
Griddles
Steam Tables 11 I 1
Gravity Furnaces I 1
—Suspended Unit
Floor Furnace II 1
I II I
Miscellaneous 1
(NAMF TYPE) I I
—F_ee I P_ nnII I
_3_C.omb. Vent.A 1 0011 1
21 out_—TnIA R IK 2r,�1
i I' II I
pp lance Fees I hl—�
dnspected ind Approved- ..L...f�..,,L.wv...............
TP. INSPECTOR