2023 (2) U6gI I )W ilk l LOT NO,
NO. STRRF.9'
w AQP LLICA OWFOR PLUMBING PERMIT.
zi CITY OF CUPERTINO
x o '� P �, Sanitary No.
1 8 1963
3 a Date Permit No ::A o,93r
_ TY �F
w w R Pee S—
" O App ¢ntion is hereC'yUa?a�YtT�t1iIe�City of Cupertino for a permit to install plumbing
` ao pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
iand/or fixtures in accordance with the p visions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicn 16 thereto.
w x t
0 r r J
w Use of Premises
00
� 3 Owner Address
zJ
�
z By ./ .n-r c ,., Y/-� ��,— �l7 �1��-co.Gay,Cd
_ o Address
3 m cone
' z
a o State License `�< s Approved
–0 6 ]vslt�
oop , igq § owgon m \
( }
* E / 03 / � } '
»« , � wC., tr
_ - iol � k` ) ƒ �
{% m ( \ ) }
� m
§ -
� ' »
n
e
qe)® \Qow �,$/�; BF /; E�
2 » » � z@$@@0 � ° / ten
iio
�
rfl
CA
rn
/ §
_ o