1962 LOT NO. g 7
FT
l, y .
� APPLIC� I y11 FOR PLUMBING PERMIT
w z FEB 25 9953 I735 OF CUPERTINO
r o Sanitary No.
0 Dat 11962 Permit No
W LL Fee $ ik)
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o : pipes and fixtures listed on the reverse side hereof, and agrees to install said rices
i a
an fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino, and all other laws applicable thereto.
J LL Use of Prem' es
O 0
> "'
H 3 Owner Address
j o By Address /1 j
, � -S-151141Vf
T� . .. �..
W m Phone
w z '1
W W •R•
rca
a a State License Approved
_Ute=—
e & yyr / / rr ± � L)uF)M
El. p Lna &r ( E { & 7 § ®
. . _ ,
E ( \ � -
}fm
` km
� • . §
\ ' &
z e
® , /
` )rn
( 2
■ � , ! VO
\ §
/\ \ \ k � z
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. _.,
..........................
'Plumbing Final Plumbing Permit No
LotNo. ......................I.......
Owner or Tenant
At ...
........................... .......................................
Date Connected ........... .............. I9 3
�.. I -----4........................................ ....................
DateF mal ............................................7.....-........ 19
...............................................
............ .. . .
--------------- ........................
PLUMBING INSPECTOR
111 7/61-500