51220.10? -392 LOT NO.
NO. s .F.a'
crtr Of TION FOR PLUMBING PERMIT
CITY OF CUPERTINO
JUN 3 197 Sanitary No.
Date 5 , 19�/— Permit No SZ 1 �•
Pee $ a2
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 s•rth the pr isions of the Plumbing Code of the City of
Cupertino, and all other laplicab ereto.
Use of
o By 1
3 F
— m Phon
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u tate
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Approved
x4 PLUMBING INSPECTO>
FIXTURES INUMBER II MAIN DRAIN
Dish Washer
Softener
Drain
Size
To Curb
Fee