51167.1 PlumbingZ//v O I i1/(AYGIG LOT NO.'7 /
., NO. STREET
APPLICATION FOR PLUMBING PERMIT
< T (:1-PY OF CUPERTINO
x o . — Sanitary No. :F-06%
LL
0' Date1>a 12 11�_ Permit No /
w Fee S
To
LL w App n i re yp �p�t 11�ity of Cupertino for a permit to install plumbing
o a pipes and)or fishes isld �t6 rr-%4rse side hereof, and agrees to install said prices
r I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
a Use of Premises Dwelling
J4
0 Ditz Crane Co. 2295 De La Cruz Blvd.
a a Owners Address
JBy Palm Plumbing Co. A1d2�4 Sunnyvale -Saratoga Road
° CONTRACTOR, AGENT
3 ess
245-2323
a s tate License 186579 Approved
i
PLUMBING INSPECTOR
FA
ns
V a lvcs
ze
Fee
RECORD OF INSPECTION "
Underground Rough
Partial Rough
Rough. Complete
;Hain Drain
Final