12990-Y7 I '-F'o(K: AL ,_1V� LOT NO.
TRE
NO. S�p/R a b
AM
OR PLUMBING PERMIT'
4
(OCT 3 C fOF CUPERTINO p
61
Date OCT 2 jq,R J_ �_ 195_ Permit No. I CRp /
CITY OF CUPERTINO Fee $ IS , � D
Application is hereby made to the City of Cupertino for a permit to installplumbing
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
I
1L
Addre4za) Cw t A4,3 C I-L-
I I UNITS I FEES II IUNITS I FEES
xture
ns
kler Vawes
0
RECORD O IN ECT ON
Partial Rough Q
Rough C(eplete
y��
Final
BUILDING INSPECTOR'S OFFICE
(CITY OF CUPERTINO
'Sanitary Permit No. ------ vaY ----------
Plumbing Permit No.—.,I—??-----------
Lot No..,,. 97---------------
1, 1
E] Sewer Connection
2�Plumbing Final
Owner or Tenant .........
a
---
Tract..............L ....... .................
Date Connected ..........................
Date Final ----------------------
111
--------
111 1160-500
.Cupertino Sanitary
i e py
.......... ................................ 19-�l ---
2—
-
............................. ------ --: .......... — 19,4
------ ------ ----------
LUMBING INSPECTOR