51226 (2)NO. 6,9TREE1'
P N FOR PLUMBING PERMIT
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Z i �j Y Op CUPERTINO
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Sanitary W ¢ 7 iN o.
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0 o Date / 7 196— Permit No.7 12-24
30
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CAT/+� /�� pp����pp Pee$ Z.p.50
PY,caO is{bv FATINOhe 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
State License -/-2-2'
Address ����--•-�—✓%-
Approved /
`/ PLUMBING INSPECTOR •�/
Fvrwee co,,rr elc -11576 R
FIXTURES INUMBER V MAIN DRAIN
Size
Washer
Softener
Comb.Sink & Tray I 1 II To Curb I I
Floor Drain
Water
I L II Permit Fee
Total A _ Total Fee