1952 (2) -206�1 M c C I e 0 c�,I,J LOT NO.
NO. STREETS� �
APPLICIATIO`N FOR PLUMBING PERMIT
CC OF CUPERTINO
��FEB 25 1953 p
aDate A-/ 19�_j Permit No.
CITY OF CUPERTINO Fee $ / (�1
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 to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
'V Cupertino, and all other laws applicable thereto.
Use of Premises
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Owner 1*n1-/eio ZlVA bl- 41'V /N�. Address /AWXY44'L!
By !'//AD % //�U/N.0/!i/— _ Address ' !/,r,
CONTRACTOR, AGENT
Phone 7 9�--ell _ Approved
PLUMBING INSPECTOR
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Bldg. Dept,
Office Copy
' BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. .--------
Zj/Plumbing Final Plumbing Permit No. -_------
Lo� No
Owner or Tenant ....-
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Tract ..............`- -_`2yA --Gam -------...---- --'
DateConnected --------------------- . ................---------- --------------... .9..... .....
Date Final ----------------------------- ----------
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-P UMBING INSPECTOR
111 7/61-500