Loading...
825 (2) LOT NO. _ NO. STREET I' • APPLICAT ' Aft FOR PLUMBING PERMIT y ,--- • "J, CITY OF.- ERTINO . e J Date x 1 A. <' _ � v Sx-� Permit, No. i Fee $ 'j Application is hereby made to the City of Cupertino for a permit to install plumbing pipes and/or fixturesllisted on the reverse side hereof, and agrees to install said prices r 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 /- `.4 a Owner • T / /,7 Address.s gy 5 ///� Y Address /f.7,?c .'0,•„pr/7. � T CONTRACTOR, AGENT .f Phone Approved . \ /PLUMBING INSPECTOR 0 a w a d w n nQ O r ,.,� rn d d .j 7e a. �• �. O m .a• T b v �' ---- cin-- �—i I---- >-- — -- ' A�! RSff Cupertino Sanitary Office Copy BUIL"DINCw'I 'S OFFICE s wr .'-f'. a1, •IY�. S itary Permit Ido: .:. ...%.......... •'• Plums + "+etcyy'' �;:�Y �� � ♦ Ar�Y Iwnging'Permit•No. .:-��s::�,..---...,.. •. ,.�.. '��' a Lot Nm..,........................ �$' yY Owner or a 1§ar[ '............._....::..,..:................-----...... Date Connected DateFinal ........................... ......... y -.......... ......----- 19 f• ...........------:..... .................................................. .............................. PLUMBING INSPECTOR u I Veio-Soo l