568 19756 _ LOT NO #�
N txt` T Idlewild' Greens
+�•► 0 T 12 1961c ' APPLIANCE CUIOPERMIT
Date /+IT7lO�Sr1�:f�3tnrnTi�19G..... Permit No. �S
VV
Fee.f_L=_
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 rode of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises
u
Voc,%-
C,SRL� fi�FqW`�&- INC. — Addres& arlmt S .
I-) B17-9 OLD COUNTY ROAD Address CiS00
SAN CARLOS,c6rA.d' h&WIAGBNr
PljOQt Ly 1-2607 APProv PLUMBING INSP 0
Remarks (Check_ ✓)__
Type of Appliance I Units Fees II New Replace I Relocate
Gas Ranges � � ��
Wall-Heaters
Gas Plates
Circulating Heaters
Blower Furnaces 1.5Q1 R
Gas Fired Boilers
Warming ovens
Percolators
Griddles
9teayi Tables I I�
Gravity Furnaces�--I IL_
uuseended Unit
Floor Furnace
Miscellaneous
(NAME TYPE) I ��
pp Iance ees
Inspected and App ro'ved ...................................
DATE. INSPECTOR
1
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