1843 T NO.
NO
T
?R ADt -A FOR PLUMBING PERMIT
NOV 6 1962 OF CUPERTINO
Date l Oct. 31, 1962 , 195_ Permit No. 1.94
CITY_ OF CUPERTINO
Fee $
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— Residence
NOwner Deep Cliffe Dev. Bo. Address Lot . awn Ave.
By W. L. Hickey Sons- Tn ,Address 8 e
! CONTRACTOR, AGENT.
Re.b—493App
Phone rove
PLUM INC INSPECTOR �
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Bldg. Dept.
Offitv Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ..... .........
Cl.-Plumbing Final Plumbing Permit No. ...IJY3
.........................
Lot No ... . ...................
Owner or Tenant
At .... .............
.............. .. .... . .. ........ .............................................................
Tract ...............
Date Connected ----------41.1;.............. .. -----
DateFinal ............... ............ .... 19
..........
...............
rpztu��ING INSPECTOR
111 7161-500