1951 (2) LOTNO./
No. sTneeT
,�Rf LICA,TI)ON FOR PLUMBING PERMIT
I(�F OF CUPERTINO
Date • FEB - M phi
9�.� Permit No. i
a (' TY OF CIIPE�JINO Fee
A¢ lication 1s hereby ma a 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
v
Owner /.41)4,,9 I-'X14//7i-//LV. Address
By PyA4 Y 121om Address / 14 —
CON CTOR, AGENT
Phone f/ Approved
PLUMBING 1NSRECT0R
F G A O A
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W N
7
1-1
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o S n — z o 0 0
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- _ Bldp, Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
J ❑ Sewer Connection Sanitary Permit No. 3 7.7........
[4/Pfumbing Final Plumbing Permit No. -
Lot No.
I
I Owner or Tenant .------........... .. ..lr-�-�. �,
At --- --- - .:--- ------------------- ----..-----
Tract -----------------
Date Connected _ 19. 3
I /
DateFinal ----------------.................rJ..-. .-7..---.....--- .._---... .-------...-----......_ 19_4�13-
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PLUMBING INSPECTOR
111 7/61-500