31437 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECT'RICAL PERMIT NO.
x✓ xUu,nlNG DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL
I BUILDING PROJECT IDENTIFICATION 31437
BUIL. ADDRESS: SANITARY NO. APPLICATION SUBMITTAL.DAFT
vsss AfirAa✓l"q I I k IrLitCLr
OWNHR'SN 4N I'HONI CON'TRACTOR'S NAME: LIC NO: I N/C CON'I'RUha
I
�ARCI II'1'ECTIENGINEER:
LIC NO: ADDRESS.