2182 e1 � 1 12, Yl ., LOT NO. 41V
NO. Q S rR T-
JJRAV QA 4 y; FOR PLUMBING PERMIT
VJUN
OF CUPERTINO
oUN 20 1963 Sanitary No. �}
0 a Date ^�- //YLG
7 1963 Permit No ��/
3 LL CITY Y OF CUPER� Fee $_21L4 �
� o
Application is hereby made to the City of Cupertino for a permit to install plumbing
o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
j w Use of Premises
00
oJ Owner Address / 10/06
�_ z O Address
3 �
N=ORAGE'
— W Phones.�.� ' 97/1
W Z
W WSLicenseC$6 " a!ZEP 1 WILLIAM D. BENEVICH
a atate Approved
PLUMBING INSI'ECTOA
� � w , ; � ¥ N % ® ! � f " ( ■ f ` ' ;
» | ai _ E � & � - , 2 ■� } $ ` ° E —
{{ �
» / t 2 /
§ ;
§ , .
m & i AIya
& & & � - ` •
�
X27 ƒ ( ( 2 rmd rr ■ » rA / @@@ ( m
Z \ ;� § ( } § \ � ( — § � ( (\ i/ \
■ >
( B
[ ; ;
Bldg. Dept
Office Copy
BUILDING INSPECT R'S OFFICE
CITY OF CUPE TINO
❑ z
Permit No. - -9
Sewer Connection J
Sanitary Perm ......... . .
. ........ ..
pp
2,__fl=bing Final Plumbi Permit No. ..........
Permit
Lot No. -------
...............
Owner or Tenant ..............4
At ............_;t: ( ?... .. ............. -CAI
.::;:ff...... ;��......... ..................
Tract ............................
......................
Date Connected ----------------------------7.......1-._1.............. ............... ........... 193........
. .. .. ... .. ...........
Date Final ------------------------ -------------- . ..... ..�011
................
---!�..... - ---A- -- ----- ----
Ill 7/63-1M PLUMBING INS'PF(��R 3