51114/9737 _h/1Ky_G i/L LOT NO.
NO. T
PP.
P„TION FOR PLUMBING PERMIT
CITY OP CUPERTINO
10p ,�0� Sxni[ary Nu,
0ue r D 196 20 Permit No
3 V X3 QC. K Fee j J
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O
� Applica * is®reby made to the City of Cupertino for a permit to install plumbing
`o < pipcs,�aj�dr fixtures' on the reverse side hereof, and agrees to install said prices
i an �1 Ixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cu itrtmo, and all other laws applicable thereto.
w x
a Use of Premises 1f t S
00
3
Owner %Z L L' Lr -5
Address/9 7 7 7 a sis-< C- 9)2.
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fayR��'%��4ti.Rii S✓'L /VQ-i..-,—Address?fG/3i.,a)h,owG—
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CONTRAChOR, AGENE
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¢ a
02
Phone 2f'7– 5%07
State License 176a b'
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Approved
40
—0
PLUMBING INSPECTOR
>v
Water Softener
Comb.S ink & Tray�� To Curb
Dental Unit
Sink
Fee
Permit Feev J
Total Fee 1. %.
A? Ir/� H
/ .3 7 LOT NO.
NO. 0
D I FOR PLUMBING PERMIT
Y OF CUPERTINO
o (JUL 13 1965 Sanitary No.
° Date 196 Permit No
3a 00
i LL CIT _ Fee $
° Application is hereby made to the City of Cupertino fora permit to install plumbing
o a 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
< w Cupertino, and all other laws applicable thereto.
w x /� � �
0
r r- 'U4-W'Clu-�-• LL Use of Premises
3 Owner �(. �/r �[ ego % Address
z,SOFT MASTER Inc.
z By Address
° CONTRAC 0AtAA&#NT
3 `a COAST WATER SOFTENER CO.
-0 Phon
W w 1150 DELL AVENUE /
0< " A;&PBELL, CALIFORNIA 9 - Approved
a o State Lice
la� PLUMBING INSPECTOR
UNITSI FEES
Heater
nes I .. _ I --
IM
rinkler %laives
' RECORD OF INSPECTION