1531 (2)±r,
v
G [ L
Qt a !z LV - C'.
S LOOT NO. / /J
NO. STREET
r�,A:6-
QR PLUMBING PERMIT
CI CUPERTINO
AY 11 1962
Date 2 6 1969 195_ Permit No.'Z
CITY OF CUPERTINOPees ? '6
Application is hereby made to the City of Cupertino for a permit to install plWbing
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
PHILIP RAFALOW, INC. �l
CUU,UriStjCh&"giACT•OR, AGENT
hpbell; Califorriialot. _:•y=_Approve
phone 377.5660 PLUMBING INSPECTOR
I UNITS I FEES II ' IUNITSI FEE.
�v
ns
rW
Sprinkler Valves I 1 11 Water Sys. Fee I 1.pQ
` Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
�er Connection
Sanitary Permit No...--..----_
j'tumbin Final lZi bi 8 3 t
8 Plumbin Permit No------------------- --_-...-..
I .Lot No:
Owner or Tenant �..... - ..._--'�:�-- --- '- - •��tQt
--
At ......... L--o------�--- . .. _.moi ,
c.
------
--
Tract .............. -
.....-----"------...--.::.`�,
Date Connected --------------------- - -.. - -- -- - - 19.(
Date Final ....................................
i } - 1� ( PLUMBING INS ECT
!' tit 7/61-500-'. "✓ny • ,,., rj '�