51177.1: 10540 Stokes Avenue
LOT NO.
NO. STItER7
N Cay OF CiIF6l M
a
x APR 11971
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
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Sanitary No.
Permit No S //-77,/
Pee S J S -
Application 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.
Use of Premises Residence '
Owner Mel E. Anderson Address 10540 Stokes Ave.
By SOFTMASTER, Inc. Address 1150 Dell Ave. Campbell
CONTRACTOR, AGENT
Phone 379-5050 ,--
State License 234281 Approved�CG.`�
PLUMBING INSPECTOR
FEES
Floor Drains I I _•II WATER SYSTEM INNEr--V
nkler V.
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough Complete
Hain Drain
Final h -01 _7/