2185 069!5 -glld
LOT
NO. n H
z
IIA;PR Q JO OR PLUMBING PERMIT
w Z CYOF CUPERTINO
x o JUN 2 D 1963 sanitary No.
OJ Date ��Z. /Ma /V 196 Permit No S
LL CITY OF CUPER F Pee $ o
OApplication is hereby made to the City of Cupertino for a permit to install plumbing
o pipes and/0r fixtures listed on the reverse side hereof, and agrees to install said prices
i a
and fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all otne laws applicable thereto.
w I
W Use of Premises
00
JOwner Address
o BY 7 r Address ��
3 FCONTRACTOR,AGB T
— 0 Phone
wz
a c 36 — /a WILLIAM D. BENEV ICH
a State License �3t?� Approved
PLUMHING�jN$pECTOgR
nomss ; ` = °
x � «
\ Cll(71 `
ee2 « mX } ® » « y@ § m zy2y9 \ »
EF o
- 2 )
/ / -
. I , �
j Bldg. Dept
I Office Copy
BUILDING INSPEC
CITY OF CUt ERTINO
❑�Se er Connection Sanitary Permit No.
PlIn
Plumbing Final Plumb' Permit INo.
9 . ..........................
LotNp. .... ---q-.7...............
Owner or Tenant ............
-------------- ...... ...... . ---------------------------
09-t�' ec�8'�' v
At ........... _.....................
.. . ........
........
.. . ... . ......... . ...... .......----- ....................
Tract ..............................
...........................
Date Connected ......... ---------- -- --- ----------------- -- --- ----------- - 19Z.....-
--
Date Final ---- ----- t................ ---- ... 19............
........1-7-4------- . .... ..................
........................................ ............ ........... ..........
III 7/63-IM PLUMBING 'INS R