51226Lot No. 0—
c
Y Date 196$?/ Permit No. 5-/;L,')-6
3 FeeS33-b—D
s Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
0 .,; in accordance with the provisions of the Plambing Code of the City of Cupertino, and all other
c laws applicable thereto. n 71
" o
A a Use of Premi
o_ v
° Owner
N
By it
3
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W ° Phone
n 3
m
-a State License
Pol
Address
,Approved
Plumbing Inspector
No.
StreeN
V
oCITY
OF CUPERnNO
i°
/
EJUL
211971
PERMIT
APPLICATIONCITY
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D
Sanitary No.
Lot No. 0—
c
Y Date 196$?/ Permit No. 5-/;L,')-6
3 FeeS33-b—D
s Application is hereby made to the City of Cupertino for a permit to install plumbing pipes
and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures
0 .,; in accordance with the provisions of the Plambing Code of the City of Cupertino, and all other
c laws applicable thereto. n 71
" o
A a Use of Premi
o_ v
° Owner
N
By it
3
_ _
W ° Phone
n 3
m
-a State License
Pol
Address
,Approved
Plumbing Inspector
Water
Dish Washer
Curb
Floor Drain I 1 II WATER SYSTEM
Water Sys. Fee
Permit Fe
Total Fee