1327( W -1 LOT NO. I
NO. STREET t• .
® 6�A'PP�L TI N. FOR PLUMBING PERMIT
NOV JA 1961 OF CUPERTINO
Date NOV —8 1961 195_ Permit No. ! 2 Z 7
CITY OF CUPERTINO Fee $ 7, 4O
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
Cupertino, and all other laws applicable thereto.
' Use of Premises
.8 OwnerPJ21-L- W—CW6-S AddrA'1,10
JaoJES Address U tOQ (
CONTRACTOROAGENT
/ I ' ,JShone L 1 O t( p Approve
` PLUMBING INSPETOI
Cupertino Sanitary
Office Copy _
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO -
❑Sewer h "Q
- Sanitary Permit,�No.,....�1.2.'r............
[Plumbing Final Plumbing Permit No..... `..i!�_%
Lot N- o....i ..----------...
Owner or Tenant _ ----
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Tract --------------
Date Conner ed ........ ......:..:'...:... /..f '. '..._... - ..:..._ ................... 19.�J...
- Date Final ----...---:..:-- .-
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111
y`+, 113fNG INSPECTOR
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