1776 �•/ /9 /✓r-/L.iCY� �� LOT NO.
NO. STREET
4%; TI ,; FOR PLUMBING PERMIT
OF CUPERTINO
AUG 3 996?
Date ` Z 191(2-- Permit No. 177
CITY OF CUPERTINO Fee $ ��r•
n 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 t6.ins6Il•said prices
and/Oi fixtures in accordance with the provisions of the Plumbing Cod'e,of:the City'Of'
,+
Cupertino,'and all other laws applicable thereto.
Use'vfz Premises �t Na:
Oivtier LCA � (7 Address `
i
d
i By' � � � • „ Address
+ «' CONTRACTOR, AGENT
' ilio6elL r.�— h y7�
Approved
- d
PLUMBING INSPECTOR
, , & � . a . : B ® ! � ■ ; & & _ § � » ;
[ ,
—�-------k—� --�-----�-- --
� §
' @ --------------------------
& . Z § (
° ® ¥
eK ` mo9 ` eE $ EE o , olm k
CFO )
----- )-- =---t-- >— w—\s--E ;
: -- ---- \ \\ \\ }
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO /Jryry
Sewer Connection Sanitary Permit No. ........A//K.l��jj...00.o//.
un ........
[90'131 bing Final Plumbing Permit No. ..,/ 'lI..(P.........
0.; .
^ L t No. ..
Owrieror Tenant ............... ..... _,.,,........ .-- --- ..................
....................
9
. Trak...: ..
ct' . .. ....... ........... .......... ... .. . .. ... ............-------......
� .
' Date Connecte � �..��- •" •`�-�+•='I�.�z
�f
ryry.
Date Final .........,.........................: . ..... ..
PL iLBIG INSPECTOR
ui 7/ei-5oo 4