51073 Plumbing PermitLOT NO, 47
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Ul, 1 Sanitary No.
Date 96— Permit No.
S'/o73
f Fee $ 21 U=O
Ap i c4t)WAs hereo&?de .! c City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on reverse side hereof, and agrees to install said prices
an win accordance with the provisions of the Plumbing Code of the City of
Cu al0d• '',"lppplicable thereto.
Use of Premises Residential
Owner JOHN LIX
By ADVANCE PLUMBING CO.
CONTRACTOR,AGENT
Phone 2 53-40 50
'State License 188596
Address2222 Balustrol - Cup.
Address 10218 Imperial - Cup
Approved
PLUMBING INSPECTOR
FEES
Boxes
Fee
Sprinkler Valves I I II Water Sys. Fee I /. .5V
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...