622LOT NO. v
NO. STREET - r�
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Date 195— Permit No.
OAN 20 1960 00
:a
a,
Fee $
Alication its, hereby made to the City of Cupertino for a permit to install plumbing
piper,TdyorCxture'sLiP4iP4iTiN&verse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing.Code of the City of
Cupertino, and all other laws applicable thereto. ,
Use of Premises I — F -)O
ApprovegIlll.[AM n BENEVI&d
PLUMBING INSPECTOR .
CL
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
CUT,
91,
Office•ino.San�opy
Sewer Connection Sanitary Permit No - ------ *..,917 ...........
��Plumbing Final Plumbing Permit No'. .......
L NoAJr ..............
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Owner or Tenant ---- Lot
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