51181 (4)LOT NO,
NO.
OR PLUMBING PERMIT
a v
zC F CUPF.RTINO
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r o 1 S 12 1968 Sanitary No.
o a Date 19k Permit No
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w � pER1�IN
o Appig1jo6 isareby made to the City of Cupertino for a permit 3
t to install Plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all othes applicable thereto.
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4 Use of Premises
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Oa Owner Addressd 1 41
�z B Address l7%rs
O CONTRACTOR, AGE
3a
Phone C2
WW WILLIAM D. ENEVICH
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State License �l e ��� • Approved
71L
I PLUMBING INSPECCOR
I UNITS I FEES II IUNITSI FEES
rains
r Valves
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final---