51167.1N i
Z Z
LOT NO.
NO. STB F. EI'
Vw6., AP,ANA FOR PLUMBING PERMIT
CUPERTINO
Sanitary iNo.�Q/7�iUate ,6jOR7 LA Permit No
Pee $�
AppGitToY isal�rebf_l Rrvh�ijy of Cupertino for a Permit to install plumbing
pipes and/or fixtures li t 1 e 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
D-itz Crane Co.
Duelling
Palm Plumbing Co.
24>-2323uR'AULNI
2295 De La Cruz Blvd.
Address
lg� Sunnyvale -Saratoga Rd.
A rens
State License 186579 Approved
PLUMBING INSPECTOR
I UNITS I FEES II IUNITSI FEES
v
Sewer
Valvcs
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough-. Complete
Final