1355 D I \ �W (w LOT NO.
NO. STRE
ft-PiFOR PLUMBING PERMIT
1 F CUPERTINO 7
Date f DEC 12 1951 95_ Permit No. J� v
Fee $ 1 �_
r CITY OF CUPERTINO
Application is hereby made to the City of Cupertino for a permit to install plumbing
N pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
,9 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 C b M M Q fLC I l l I `•�
I v
Owner ^"' JeAddress
By Address
1\
\ CON7AA , AGENT
Phone � t� Approved
IV' \ � PLUMBING INSPECT
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