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NO. STREET
APPLICATION FOR PLUMBING PERMIT
UCYZ.y OF CUPERTINO
Sanitary No, s—'Q
Date 26 % Ij fi— Permit No es>A�T1
;JULJ I Fee S/rL
Applic�}a�t.ion is hereb , made to the City of Cupertino for a permit to install plumbing
pipes 'm"1 fi0yrres 3tk�D�i� �� rse side hereof, and agrees to install said prices
and/or��ixt res act r ante wi h t e provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises Dwelling
Owner Ditz Crane Co,
�% Palm Plumbing Co,
2295 De La Cruz Blvd. - S. C.
Address
1234 Sunnyvale—Saratoga Rd.
Address
CONTRACTOR, AGENT
245-2323
0
Mare License 186579 -10Approved
U PLUMBING INSPECTOR
Water Heate
aste
ater
ns
ler Va
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .