51177.1A") �n ��GC� LOT NO.
NO. TREE.T
OR PLUMBING PERMIT
a ®4ftabrl F CUPERTINO
x of 3 1970 t " Sanitary No.o a Date 196 %0 Permit No 5%/ 7 7„1
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W LL T� 4"b 6-Q1Ihi A1c��2 Pee E o2 3.
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� App Ica i n Is ere a dy of Cupertino for a permit to install plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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a Use of Premises Single Dwelling
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,i Owner ADitz Crane Co. 229 ,qsLa Cruz Blvd., S. C.
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;, B Bohart Plumbing Co. 16'& ,t Fremont Ave., Stvale
J O y CONTRACTOR, AGENT
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— Phone 245-2323
w = 7-10-70
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u s State License 186579__ Approved
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PLUMBING INSPECTOR /
FIXTURES
Fees
Dish
Water Softener
Size
Comb.Sink & Tray I 1 II To Curb I I
Unit
Restaurant
Water Sys. Fee
Total