1857 (2) LOT No. �l J
NO. RE11
N p� pPs PLICAT!110 FOR PLUMBING PERMIT
(V Cliff; CUPLRTINO
o �NOV 191962 Sanitary Nu.
0a Date Permit No
19G-
0 PITY Of CUP RTIN9- Pee
App PITY
as iereby ma c to the ity-ofCupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prires
a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all r laws ap icable thereto.
w x
LL Use of Premises
00
> N
3 Owner Address
0a
z
it
0 By ! Address
— Phon
w
w �
State License,,/,/ ��/�L� Approved i
CONIRAr OR, AGrN'r
7E\E_« m/` 7�nyrs� y/ (_n °7� e_\ R}. 2g ��§ ■;-/§k¥2%°(, q\,./
o»/( I.,&r/. @{V�.
$
In
n &;,
4otr6
E
10
; m @ - »
EE 2 r@N]>
`\
EF
. �
-
k >
± �
■ §
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
') P,
r-1 7/
Sewer Connection Sanitary Permit No. .... Y-.
- ------
g?'Plumbing Final Plumbing Permit No. -.2 - ------- ........
---- Lot No- ---- ------- ......
Owner or Tenant -
- -------- - - --
A t
Tract ------- ------
--- --- - --- ..--- -- -- --- - --- ---- - -- --
Date Connected .................._....---12.- 7-k 4L-
....... ... ... ... ...................... ..
DateFinal ----- -------- -------------------
----------------- 19--.T...
. .... .
M 7/61-500 PLUIMBiliNG-----IN---SPECTOR