51176 (2)21537 I Rainbow Dr. IAT NO.
NO. STq EF.T
PLUMBING PERMIT
,k�PL+�C�T O FOR
z Y OP CUPLRTINO
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f o ca, Sanitary No.
o ' llat 'N'ta6trezi99% 196 Permit No. %/ 7
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Fee
9. 3�
LL° �P atif)[1}�s 'll�i� y-ITA0 City of Cupertino for a permit to ins Plumbing
o a pipes and/or Ixtures ris ed on t e reverse side hereof, and agrees to install said prices
> i- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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Use of Premises
Home
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00
:3 Owner Charles Hindt Address 21537 Rainbow Dr.
Z� Culligan water Conditioning
J B Address 611 University Ave.
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C NTR R, AGENT
- Phone 354-1845
w w WILLIAM D. BENEVICH
a 2II State License 1862 Approved
O � PLUMBING INSPECTOR
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Water Heate
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Arca Urams I I. II Main Drain Fee I
r Valvcs
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
.N1ain Drain
Final