16349 r.
�/!� //JCC/ C/' LOT NO. -
NO. STREET
EJ
AR
NMI1CUPLUMBING PERMIT
CIPERTINO
UL 5 C!
Date '-� L'' 1 Permit No. J i
CITY OF CUPERTINO Fees i' ,--
Application is hereby made to the City of Cupertino for a permit to installdplumbing
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 6,thG.City of
Cupertino, and -Al other laws applicable thereto.WPtER MS1p,�.Nlk
SOFT
Use of Premises�E��wcc' KEN'S gj $Grlele
:a 1
lOSQ
Owner` Address 9,�7 �qtr�/,Ze.2 i
V" By � Y-ApprovXed� Addres„fCON ' CTOR, AGENPhoneG INSPECTOR
Ir.IF-,dl I I'
�� 4 I--1 ('61---=�:�----�.:�.:�-N�z