1534 /ALS/ I / � � O'a, LOT NO.
NO. STREET
LOP„LICATI . FOR PLUMBING PERMIT •
® 2 QI�}YI:OF CUPERTINO
Y8
196 Q-
,IMA 3 .
Date 195— Permit No.
ERSINO ,�
� CITY OF CIDP Fee a-/
App icatlon is hereby made to the City of Cupertino for a permit to install plumbing
(J 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 otherlaws applicable thereto.
Pr' Use of Premises
Owner // N' Address
By� _ Address, CONTRA�OR, AGENT
�J Phone_%7l 7, �fL ZApproved
PLUMBING INSPECTOR
2 � ■ ® # g > 77 m ) ¥ ° r) tv :� to
-
�
Eo . � � ; @a ( ; »a ® o § m & �@
$ ■ a ! ( ± $ !� 79Ln
2 c w ; �
ƒ
,;02
); :
020-1 $ rl-3 2@@ »2 +> P 0 ] � o z
° � � �
� -
---- -- ■2/---- )-- -----/ �
& 1 � =— ---- b-- --- 32
i
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO nn//
[] Sewer Connection Sanitary Permit No. .....
d(G?,�.. _......._
[a/Plumbing Final Plumbing Permit No.
/ Lot No:. .._..-....._._..
Owner or Tenant .... .�.. ..,J.!. .
Tract ............. ���
Date Connected ... .......- -------------�Y -----...-............... 19.��
Date Final - -- -- - -- _........ - ... - ------ -----
..._ -------------
Ill 7/61-500 --.....
PLUMBING INSPECTOR