1268 /C71
• ,✓ ��CA2 �2c C CT LOT NO. v .
NO. eE
~� GIPP�IR PLUMBING PERMIT s.
SEP 6 1969 inp CUPERTINO
Date �EP 1 1961195_ Permit No.
r CITY OF CUPERTINO Fee $ i
Application is hereby made to the City of Cupertino for a permit to install plumbing
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
�?t Cupertino, and all other laws applicable thereto.
Use of Premises , '� w/ c -
.4
�L�� Noy p _
Own�r� /C / � �C.5 Address 4�
Address
CONTRACTOR, AGENT
o e4L / O c/ OI Approve `
IV
PLUMBING INSPE(
o m
mn
w p
o
-�-- --
\ — -------------------
m
Q. tv
m m m �
9 0 0� w N p o O O
z. .p '0
w
< m n c y
Y Cupert'jSanitary
'c 17ApY
BUILDING INSPECTOR'S 5 OFFICE `
CITY OF CUPERTINO ,�77
❑ Sewer Connection Sanitary Permit No. ....
u .................
,• <m/Plumbin Final t ����
g � . Plumbing Permit 'No. ----,../.--.--.`---.----.-
'Lot No. ....f.// ... ..
e-.
Owner or Tenlnt i .` .' �� • ' ` "
At
wJ
Tract .............
a Connected
- ---.. -. ----/'�-------
Date
-
-----
.gmaDDaaytt1ee Conn:.e.rc:f.t.e'-.;.d...[._-.------_---.---------'-
,e -.... /�./'. ..�........ ._.._----
i ------------.-_------- �...
./._ ' s
PLUMBING INSPECCOR, <_•I
ll t 1/(0.500 f - •r � 4
�_--�'_"'_'t Wiz-- __ •