51177.1f •id, I , LOT NO. f�
NO. E
OOR PLUMBING PERMIT
C F CUPERTINO
f JUL 13 1970 Sanitary No.
Date , 1961-0 Permit No <7e--
CITY
7e-CITY OF CUPERTINO Fee $ e-6
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
Single Dwelling
Owner Ditz Crane Co, 225} & La Cruz Blvd, S. C.
By Bohart FlumbiM Co. 167AA.esfremont Ave., Sfvale
CONTRACTOR, AGENT
Phone9)1,5-2.393 7
State License 156579 Appr�r��
PLUMBING INSPECTOR a�
NUMBER
Units Fees
Size
Waste Dis osal
Wash Tra
STORM DRAINAGE
Washin Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink &Tray
To Curb '
Dental Unit
Drin Fountain
Floor Drain
WATER SYSTEM
Sink
Water Sys. Fee
Total