1711 /d aaI ' Tract #3442
LOT NO. 1,1,5.
NO. STREET VOak Dell
R APPLIANCE PERMIT Ranch
OF CUPERTINO
(W 9 4 I
Date 7���� 1964 Permit No.�_
ao
co CITY OF CUPERTNO Fee s- 9�
0
� 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.
N
` Res .
Use of Premises
Due & Elliot 1408 N. Winchester
ne Addresssax-i__i-g9 e
L779
ar Pos ee e a or
9 Gaenty Road Address�IosdeCaliforniaco"T'5"c�ioE'AV3 Approve (/
. PLUMBING INSPEC O
,
Remarks (Check ✓)
Type of Appliance Units Fees I New I Replace Relocate
Gas Ranges 1 1
Wall Heaters I I I I
Gas Plates II
'Circulating Heaters I I II I 1
Blower Furnaces 1 q X
Gas Fired Boilers I II 1
Warming Ovens I1I 1
Percolators 1 I It 1 1
Griddles
Steam Tables I II I 1
Gravity Furnaces 1
Suspended Unit II
Floor Furnace 1
Miscellaneous I 1 ii 1
NAME TYPE)
3 Ton Air Coad 12•Oq I
2 Vents 1 1 2.09 1
11 Cutlets 1 2.75 1 _
Fee I �-09 1
Appliance Fees
Inspected and Approved ..l. .��. .
...... ._..........----- ---------
AT' I INSPECTOR