51220.221502 REGNART ROAD LOT NO.
Ciff OF Cti ITWO STREET
N a puG 13 191 APPLICATION FOR PLUMBING PERMIT
i 1 CITY OF CUPERTINO
r oSanitary NO.
o I�p at�juRst 13 1911 Permit No J—/ d.J
a
WFee $ 2'"—
=0
Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
rr 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.
W S
< r
j LL Use of Premises Residence
00
3" 21502 Regnart Rd.
Owner Virgil J. Heng Address
0a
;Z g Culligan Water Condition�,s 611 University Ave.
J O y �
CONTRACTOR, AGENT Los Uatos, k -alit.
3�
-Phone 354-8840
a U/11
State License 216217 Approved
1. 9 PLUMBING INSPECTOR
Ir e
ler Valves
RECORD OF INSPECTION