865 (2) 'D `A I �l� LOT NO. P 2 �(
NO. MEET � Tract #2880
A PPLIANCE PERMIT
ERTINO
1 D 1962 8 5
Date t96...._ Permit No.
CITY OF CUPERTINO Pee , s�
oD Application is hereby made to the City of Cupertino for a permit to install
Ngas appliances as listed on the reverse side hereof, and agrees to install slid
Oappliances in accordance with the provisions of the Plumbing rode of the City
� of Cupertino, and all other laws applicable thereto.
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Use of Premises Raa _
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`� Owner Thomas Constr _ Address759 Campbell a
5 S SHEET METAL WORKS, IN Address,
AddressCampbell
9 OLD , AGENT
ire -
�AngARLO JE2Approve
PLU461NG WSPELTOR
Remarks' (Check ✓)
Type f Appliance I Units Fees II New Replace R'elorate
o
GRanges I �� 9
Nasall Heaters
Gas Plates
Circulating Heaters �� d
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
rSuspended Unit I —
Floor Furnace
_Miscellaneous
(NAME TYPE) I _
pp tante ees
Inspected and Approved . . - ly
DAT. INSPECTOR
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