51145 (5)I
NO. STREET
LOT NO.�/ 8
14[� FOR PLUMBING PERMIT
tlq�,�j�
OF CUPERTINO
Uate�AY 1,1966 J'�-J✓I /
' ,a�, 196
Sanitary No.
C T (� (�[� �{� '(�'(� Permit No-'!f-//�
P�TcY NF cYc4i}�rf+atteTMO Eemi o ins
A c do s h t 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/Ur fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises /� ,0
Owner 7 Address
CROWN PLUMBING CO. r>t.
By P n Rr„r Rng Adm PLUMBING CO. INC.
S•o nt-,CQN�RACIOR, AGENT P. O. Box 802
Phone e..____.�_ �,-71. .
State License -1 � 2 Approved _
/ �'o,"
PLUMBING INSPECTOR v
UNITS I FEES
ns
ater Leaders
rinkler Valves
Boxes
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final