1831 (2) LOT NO.
NO. STREET
ft-FOR PLUMBING PERMIT
C OF CUPERTINO
f OCT 2 3 1962 o
Date October 11 , 1952 Permit No. O
CITY OF CUPERTINO Fee $em,
Application is hereby made to the City of Cupertino for a permit to install plumbing
0 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 Hou cPhold
v
/yfl Owner Harold White Address 10535 Merriman Rond
C By COACT WATRP SnFT�roEa Address EDA
CONTRACTOR, AGENT -
Phone CY 53435 ApprovekA
PLUMBING INSPECTOR
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