1833 i i LOT NO,
NO. �STR EP.I'
!PP L ATJO . OR PLUMBING PERMIT
z `
z ;1 W CUPERTINO
' 0
I OCT 26 1962 1, Sanitary No.
rc _
3 a Date 1' �— Permit No
Fee $ d C�
o Ap ITidn ii0Fc.re6YVfdi_dcRT) JN0ity of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
Z and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws appli lc thereto.
w x
< r
0 LL Use ofPrees ! P
o_ o
1 N
o a Owner Address
z _
Z C
o ]3Y 1�l�/��l7AC+ Cd y�2�� Address L
w m hon,.
w a State License 4 Z �� S Approved
U CONTRACTOR, ACP.NT
w% c. / { « £ c � mJJmpCEglq § 2rmww4
� P , - _ - -� • - , � §
tr
E § a ; _ _ - - � $ ■� ] } ! �
{ k ®
� • � \ tr
\
220
z
® � � « m ■ , - mq rr > @ z , ewK »
- b ® ^ m r -
2 � �« ( [ ) ] � ]
rri
t 2 ' 0
LIS Im
ƒ 2 -
. Q , . e
` e
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. C
2---Plumbing Final Plumbing Permit No- ----
--------
--. .----....-.
n
------ ........
( E,t No. ...... ..
Owner or Tenant LIC-"-Q-Q- 15, -�-
7 '
. .. ...... -----.... ... . ......---- ......
At -----------I U.11 �,,:
-- - --- ------
-- ------ -----
Tract --- ------- --- ......
------ ----------- ------ ------- ---------
Date Connected ------ 19-�---
Date Final lt�
------------------ - -- ----- ....... ......-.... 19....
...... ....... .. k---- ----------- ------ ......
PLUMBING INSP R
111 7/61-500