624 (2) 1s✓.:7I 1 _if/YW l2i - LOT NO.
�O. STREET
-A Pk`iC,k►TION FOR PLUMBING PERMIT CSR 1
I OF CUPERTINO J
JAN 20 1.960
n
Da 195_ Permit No.
CY OF
\ Application is heUP�Rd to e City of Cupertino for a permit to install
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 /- -N --
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Owner �s Address
By _ Address
CONTRACTOR, ENT
Phone ApprovedWILL1AM D B N VIr-
PLUMBING INSPECTOR
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Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ------YY49...........
[VPIumbing Final Plumbing Permit No. ..../O .............../
Lot No. ----.A6/ .............
Owner or Tenant ---- ............................
At .......
Tract ..........
. ... .... . ........... ............. . .. . .... . ........
.
Date Connected ............. -d..............-.-..--....... .. .................. ------ 19...
Date Final ..........................
V.. ... .... ................. . .........
i.
........... .............................................
...... . ..........
MBING
INSPECTOR
ill 7/59.500