51123No. Street Lot No.
o —
d APPLICATION FOR UMBING PERMIT
Y t U&ER
?9(VTT
anit r o.
Y Date 3 1968 Permit No.J7/-)'2
° Fee
3
Application is hereby made IS, Vit C B (dr p2ppit to install plumbing pipes
and/or fixtures listed on the reverse side ereof, a n 11 said prices and/or fixtures
o in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other
'co laws applicable thereto.
'
u
oU
> o
c n
�_ rn
3 �
v ° Phone f,3 d V
ro 3
(..LState License
.20 f2� o
Approved'
lutnbing Inspector
Wash
Size
To Curb
Water