51157 (7)UT FOR PLUMBING PERMIT
z ` D Y OF CUPERTINO
ro�JUL 7 1965 sanitary No.
3, 14 -7
Uate 196— Permit No
0 CITY OF CUPERTINO Fee $�
' - Application is hereby made to the City of Cupertino for a permit to install plumbing
0 a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i and/or fixtures in accordant • with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other ws 'If I ble thereto.
~ ~ Use of Premises /
00 /
3 Address
Jz
By Address/S f7o�iLe:
CON ACTOR, AGENT
w z
a o State License y z- Approved WILLIAM D. BENEVICH
—U
PLUMBING INSPECTOR
Mo
ns
Sprinkler VjlVes I 1 11 Water Sys. Fee I /, &tV
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
rain