51177.1N Q
W Z
`i7
I -! =Ae— LOT NO. w
NO. STREET
Ij71 FOR PLUMBING PERMIT
�'�` f�1'.OP CUPE,RTINO
('1U 1970
L,
Date (96 70
Sanitary No.
Permit No
Ar11TT��// nnCC Pt,E TJ(�A Pee s �.3..
pl4alio.0, he 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 Dwellina
Ditz Crane Co, 22�&De La Craz Blvd.o S. C.
ress
By Bohart Plumbing Co. 16'kA jremont Ave.2 Stvale
CONTRACTOR, AGENT
Phone 245-2323
State License 186579
Approved
PLUMBING INSPECTOR ��
Water Heater
Dish Washer
Dental
Fountain
Sink
Size
WATER
Fees