1622 /d6 Vv M LOT NO. //NO, 55vf
CATIO FPLUMBING PERMIT
JUN 21 UPERTINO
Date Y X 01 Permit No. Al'-2-2'
Fee $
mApplication is hereby made to the City of Cupertino for a permit to install plumbing
q, 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.
Use of Premises—)?l=$ ) E �C -
Owner /� t-LI 7 r �/ Address
By-.l;�C-R l I61„fA,kSI'l'Cr, _ Address
CONTRACTOR, AGENT
Phone_A L - 2- /°70� Approved
61 PLUMBING INSPECTOR
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Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY' OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .c/.7v
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Plumbing Final Plumbing Permit No. .. - --------
Lot No. ........1I........ --........
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Owner or Tenant
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Date Connected ._--------`----------------D--.--....'U...---'------- 19---4.......
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Date Final
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PLUTfBING INSPBO
n 1 7/63-1M