51179"/'51777,/ I X/3 V LOT NO.
NO. STREET Z
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14 SYMN I
I
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
Dat 196_ Permit No 5��7 5
/���� ��ppT p1n Fee $ dy
Wyati0`is lrmr (y�EidhItl IQ' City of Cupertino for a permit to install plumbing
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
gy <C/�f71i3.�iostJ �f/U,elE.��
CONTRACTOR, AGENT
Phone- -3-17-3790
State License �-2 3 951W
Address-
Address
ddress Address x
Approved WILLIAM D. EENEVICH
PLUMBING INSPECTOR
Sprinkler Valves I 1 II Water Sys. Fee _I
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
.Main Drain
Final....