51177.1Tarlo I
"mal
R l
(AUG 24 1970
Oto e l �.:
_ LOT NO.
)632
PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
August 11, 19k70
Date , 196— Permit No
CITY OF CUPERTINO Fee $
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 Signel Dwelling
Ditz Crane Co.
By L. C. Bohart Plumbing
CONTRACTOR, AGENT
pk--0 245-2323
State License 186579
\p1
A2Are5,De La Cruz Blvd., S. C.
AJA7J. Fremont Avenue, Slvale
9-21-70 f
App yoved
� i PLUMBING INSPECTOR
Dish 1
Waste
Size
MAIN
_ Comb.Sink & Tray To Curb
Dental Unit
Drinking Fountain
WA
Water Sys. Fee
Total