51226 (2)W Q
W Z
B
FOR PLUMBING PERMIT
?1'—
Y
OF CUPERTINO
Sanitary No.
D�' �F'%U ,,196— Permit No 5'/2-26
��++1TV _(!� C��ERTINI/ Pee$ ZY-56
Nplslicahon'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 with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
1*2 _ ;9 .
Use of
State License / 7J- kd � Approved
Y PLUMBING INSPECTOR
oK
Water Heater
5
MAIN
_ Comb.Sink & Tray�� To Curb
Dental Unit
Size
Total Fee