1723I l -&3 LA" 2�'. � � N \ �- LOT NO.
NO.' STREET '
4
1962
?(A&U5G10
ION FOR PLUMBING PERMIT
CITY OF CUPERTINO
, -{
Date 0 p, 196�� Permit No. /d
CITY 01 CUPERTINO Fees /)r-'5-C7
h Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
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• Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /
❑ Sewer Connection Sanitary Permit No......._(.717..
- '-
�/iflumbing Final Plumbirig Permit No............
Owner -or Tenant�_- . ..
------ -
At /1 3 ....... ��, `-------------------------------
Tract---.._--........... .------- -----------....
Date Connected .-- ..:................. �0L41
DD -- ----- ------- 19..4
//9.2
Date Pinar-=----- A'Pt-
----------------------BING INSPECTOR
711 7/61-500 - _
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