1217 1241:'70 7//rC LANs- LOT NO. O
NO. STREET '
uT FOR PLUMBING PERMIT '
SEP 12 1961 OF CUPERTINO
Date 195_ Permit No. -/ Zr d
b CITY OF CUPERTINOFee $ /9 3—"
T Application is hereby made to the City of Cupertino for a permit to installplumbing",
n 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
V Cupertino, and all other laws(applicable thereto. V• „_
Use of Premises /ICS/OCNGB' '
in•.
Owner Ca/ninevwrnuti /ILDRf' ' Addres To
By p//?DY ALlAVhy6 co. — Address Z-
CONTRACTOR, AGENPh
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3 Phone (- :Approved
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.-_.Cupertino Sanitary
Office,Copy
BUILDING ,INSPECTOR'S OFFICE '
CITY OF CUPERTINO
❑ Sewer Connection . Sanitary Permit No. ....V/0:p .
[Plumbing Final Plumbing Permit No.
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'le Owner or Tenant ---A=O&Ae
Tract ............. .. -----..-.......t.df�-. ----- -> ----
Date Connected /-� .-.::3i",..._......... ------------- --------- 19"'/
Date Final .-----:...........................:�._/- ...---......--.......--- l it
i' } T PLUMBING INSPLC'rOR '} R
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