51167.2 (5)Vssof C o l u.yBrf AyA LOT
NO. STREET'
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date"fina
Permit No. ��� L 7.
Pee $App a�iooyof Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/ ptj J Irc�r aycl,�gLcp��jll provisions of the Plumbing Code of the City of
Cupe an 11 I . ble thereto. �`
Use of Premises flet I o0l — slwc& F' yer Aw r
Phone 37 7— 9ii S .
'tate LicenseCs3 4ZS"2S Approved` WILLIA,24 D,
PLUMBING INSPECTOR
Water
Dish Washer
Water Softener
Drain
To Curb
Material
Permit Fee
Total Fee
DRAINAGE