5117510( 7 I H4 !-LOT P NO. OU `
NO. STR F. F.T
CITY OF CuA,RALICATION FOR PLUMBING PERMIT
MAR 10 1971
CITY OF CUPERTINO
Date T 19? -Z
Sanitary No.
Permit No S//- S
Pees 3. s-70
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 in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
734-q8f7
Owner_ A/h_ K R d LL Address Jo.3 37 VISTA K•bott BLVD
By_XCIF-PLQ6- lUCtiu.c.tia..._ tS AddressT7%PFRRY/YOUT 04—
CONTRACTOR, AGENT
Phone 3 9"7— A/07
state, License -2- 3 -7 go O
Approveda4MA07 -
PLUMBING INSPECTOR
NUMBER
Dish
DRAINAGE
Water Softener .I 1 II Material I I
To Curb
Water
Total
O