1746 ( n b ' K M T NO.
_ NO. TR�FTL""NKTION
.
g PLI FOR PLUMBING PERMIT
r1962 CITY OF CUPERTINO
AUG 2 VL
Date 195_ Permit No. I
�
CITY OF C�JP. Fee Won
Application is hereby made to the City of Cupertino for a permit to install plumbing
lz�-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
�55 Cupertino, and all other laws applicable thereto.
8 Use of Premises
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Own(�ar � p YI ;� � Address n
By Llf� �" U Xf lL_ ` (�, Address U
p CONTNACTOR, AGE T
Phone QY ' �- 1�10� Approved
PLUMBING "
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PC
Bldg. Dept.
` Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
[] Sewer Connection Sanitary Permit No- ----- �y,J
' 4447
[fl/Plambing Final Plumbing Permit No. ..
Lot No. .__-..... .,.........
Owner or Tenant ...
At ----
Tract
--Tract .-------------
Date Connected .......... ......._....... ....
�o( 2
Date Final .... ... ----------------- ---- -
- --...------..._.
PLUMBING INSPECTOR
11t 7/61-500
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