51167.2No.
Lot No. I'
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No. G./od, 401
Date 3' , 196j_1 `i� �. ,Permit No7..2
Fee S o.2.
r
Application is hereby made -to the Citylof rCupertino fo ,a,perriiit to install plumbing pipes
- -and/or fixtures listed on the -reverse -side -hereofland-agrees•to- install -mid -prices -and/or fixtures -
in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
laws applicable thereto. . •11 ' _ , —
Use
Dwelling
OwnerDitz Crane Company
By Palm Plumbing Company
Contractor, Agent
Phone 245-2323
186579
State License
x
2�5 De La Cruz Boulevard
ress
IM,Sunr>,yvale-Saratoga Rd.
Approved AV's" J
Plumbing Inspector rd
Water Heater I / 1 II Size I 'f I
Waste
Dental Unit
Floor Drain
To Curb
Size
Water