1682 (2) aL-a&qLOT NO-
NO.
O NG ® �R PLUMBING PERMIT
�i1r AUG 3 19624'1 CUPERTINO
Date �' Z Permit No.
z _. OF Cur.thil � / �✓
Fee$
i7 Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/gr 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 PremiseIV
s
u f
h Owner ul �' Address
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By Address /6 4 "
coNTancron, eGENT 1_
j Phone 0V . 4'7 7 Approved
PLUZING'INSPECTOR
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Bldg. Dept.
Office Copy
.BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ..... .//(pp.. .......
Plumbing Final Plumbing,Permit No. ..�(e!!A.."�......
A .
. Lot No. .....:/. ........
. . .....
Owner or Tenant ..... .. !.r..................
At ..... --.::... .........................................
Tract ................... _
/.
• Date Connected ..... ......... t:/ 3 1 .
....: ,,/,1...3.d . . � .C.. . 19........
.........-- MiNG
................................
.' + NSPECTOR
111 7/61.500 - `