1041 1S-7-LF RI-1-1TLOT NO. "
NO. Q EE
� A LC �t O OR PLUMBING PERMIT'
•
�y 1 JAN 23 1961 C OF CUPERTINO
Date
/_ Permit No. b t4
�J Fee $
Application is hereby made to the City of Cupertino for a permit to install plumbing
Lj 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_
:a
Owner p Address
/ Byl AMIN& Address Z .
(� CONTRACTOR, AGENT
�y3 Phonel/N7-7 /77 _ Approved PLUMHINGINSPECTOR
, yfg4f9mr [
} \/
E ; lBElaEI ! / \ »
\\ }
� [ ` ( ® \ / _
� ® 2-------�—�--�-------- --
�w \ JN $ /
; } G --------------------------
\__\\\\___\\\\ �_—
i"
e$ § ;
` \\\_ ,-- kyc---- /-- — ---- /
till
III
Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
f-I Sewer Connection Sanitary Permit No. -j;.7-?Y.......
[9�Plumbing Final Plumbing Permit No. .,.'/
C) 4 Lot No.
-.....(,J---.....---
*-------
Owner or Tenant ..... . .....
At -------
.. ............W
---------------------------------------------
Tract -------------
Date Connectel��- ��
-—--------------------- ................................
Date Final ...........
�LU..........gz�7...................
MBING INSPECTOR
lit 1160-500