1839{ No 1—�if ZIA�S 1 \ f\OT NO. (l�
VNOVFOR PLUMBING PERMIT
V C ' OF CUPERTINO
962 7
Da Oct. 31 1962195— Permit No. d q
Ut ERTINO Fee $ t q'00
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 CIMOMr Residence
A Owner Deep Cliffe Den. Co.
CONTRACTOR, AGENT
Phone Re _.938
I
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO 1'
[] Sewer Connection Sanitary Permit No. ..o .`.........
Plumbing Final Plumbing Permit No...l..
Lot No CK ...............
d�
or .. ......
Owner. or Tenant':: .. .. .....
t'•o . !fit ..... _:3ps'.. -
Tract
DateConnected_ ..... ................. -../............. 1! ..... ,................................. .......... 19.1 F
Date Final .......-..._ ..--------- ........_-� ------------- ` 1 .�
..........._....-------------------------------
PLUMBING INSPECTOR
•nl•7/61-500