1829 (2) LOT NO.
N°® ISI aT .1 Q� L MBING PERMIT
N po n 'S� - ��p
w ,OUB Il `��Ti�5?t I P TING �o
x o Sanitary No.
o ��; %s L. /8Z9
3 a Date g� p q n1'96_ Permit No
w CITY U F/Ui�EI IIUO Pee $ ��
LL
° Application is hereby made to the City of Cupertino for a permit to nstall plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to Install said prices
f > H and/or fixtures in accordance with the pprovisions of the Plumbing Code of the City of
! a in Cupertino, and all other laws applicable tHereto_4.
o_ o Use of Premises ll4FC -�L✓R `G�/YS' i
> N y
oa Owner vI 0 Address ;-073T S"191SP`6-
Lfi 2 S PR/y
ZJ I
I Z By - ,�0�tC Address%I- _ �r
O
Phone ? .1.136
W y Y
2 �� `.
° tate Licens Approv
QV I ONTNA Oa„ dON .,h'• �'
i.
» K (\ƒ ) On q0{ gbQz
^ r � ® � ; � ; § —
� � �� � cr
\� � ( � � � ( ( \
§• §'.2 ƒ ( \ � ° ° ° ° ` � ® ® § " rri
SIN
7 rn
2 —
N N 0
® @ / � k0
® ) 2 « » ` q 2 .2 ° / / \ ®
E2.
tjIT T
n
Bldg, Dept
Office copy
BUILDIN SPECTOR'S OFFICE
C� (if�CARTINO {�J
Sewer Connection Sanitary Irmit Noc:�,. (;. C.
dumbing final Plumbing Permit No. .../.��e—
.7............
Lot No. ....................
. ............
Owner or Tenant . ' • Po•1.yI
Q..
At ........_.......t>.
. ..�..........- ........w..:/..;rim
Tract ....:
..................
.........................................................
..............
Date Connected ...............................�_�.:'..! .6.,—
Date Final _
'i77
111 7/63-1M ` �" PLUMBING 1NSPB