1950 o A 6 7 ��, i(A LOT NO.
NO, _STREET
I N OR PLUMBING PERMIT
z < (✓ IT F CUP.ERTINO
' 0 '�ED 8 ' 960 Sanitary No.
O J Date 19GPermit No
9,5
i Fee $ 7s ic'q1 �F fy! P pINO
oApplicatoriefeb �do Q
the City of Cupertino for a permit to install plumbing
°o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> H and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a) Cupertino, and all other law a I thereto. v
Wa
oo Use of Pre
> N
i 3 Own Address
Z By Z� y ��� /!�/E1 Address 61*f6L IF f
CONTRACT R,AGENT
Wz m Phone o I Pj
ao State License,An Approved�� ���
_U I I e
PLUMBING INSPECTOR
r4bczm a0r)w
{ _ ; » [ E ( ( e § ) 3Q • e § Gf ` / ~ G �
■ Ln22 « z ZwgH -4
f2 � 00
mom # n , `
\ $ E
`
0