51114' - - LOT NO.
NO. T
FOR PLUMBING PERMIT
.z i ® OF CUPERTINO
Y LL JUL 311970 Sanitary NO
3< Date 'l 7- iv- 9�C Permit No. SlkILA
" A�`j F UPERTm Fee S aS�
W LL p{.� dQY
0 A '1a io her y made to the City of Cupertino for a permit to install plumbing
o` pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
4, Cupertino, and all Qpother laws applicable thereto.
a LL Use of Premises
00
o a Owner J ENIfl�1/S 7J, S • Address
2J By +4c& PCB6. Q/iVil Address 374 fERAYnoAl-r LZ
CONTRACTOR,, AGENT //
3�
— 0 Phone .24 7 8/07
7 -go -7a
ao State Licensez 37 90 Approved
U PLUMBING INSPECTOR
00
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Plain Drain
Final /�
_, - ,
CITY OF CUPERTINO
10300 Torre Ave.
CORRECTION NOTICE
� A / .
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T�_.------= -
DeparhoeM
Job Located at .�Q---�----
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
252.4505 Date: ----- ]S_ "7,9(o-.� -----
City Telephone Inspector: ----� .....