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APPL-ICAiTION FOR PLUMBING PERMIT
AUG 2.1967 CITY OF CUPERTINO
:
Sanitary No.
Date August 25, 1967 196— Permit No.
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-Prremises Z -,n %
rn
Owner /",.L-.-� L( Address
ALIAN AUTOMATIC
By 'C SPRINKLER CORPORATION Address x390 Bayshore Blvd,
CONTRACTOR, AGE SanFrancisco 94124
Phone x 826-6262
State License X 152678
Approved
PLUMBING INSPECTOR
FIXTURES NUMBER Ir MAIN DRAIN
UNITS I FEES UNITS FEES
Water Closet
Shower
Kitchen Sink Not Conn.
Dish Washer Sewer Box
Waste
Comb.Sink & Tra To Curb
Dental Unit -
Floor Drain WATER SYSTEM
Hopper Size I
Main Drain Fee
Storm Drain Fee
er Valve
Heuer verve vas Iee
Vac Breaker
Permit Fe
Total Fee
//000 LOT NO. '
NO.
APPLICATION FOR PLUMBING PERMIT
� a �11 OF CUPERTINO
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x o S:'mitary No.
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0 j Date f' 196_ Permit No
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}} ytio/�ps h�Sq he City of Cupertino for a permit to install plumbing
o a pi 1 id/o Ix uhai.lisf 11IN16everse side hereof, and agrees to install said pri(es
> 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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LL Use of Premises
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3 OwnerO Addresszj
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11 Address/5���'—>—!
3 CONTRACTOR, A NT
w i Phoney
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o State License r Approved '
U 1 PLUMBING NSPECTOR /
Water Heate
ng
n5
rinkler
UNITS I FEES
Fee
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
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// G' O 4� LOT NO.
NO. STH
APPLICATION FOR PLUMBING PERMIT
``CGTY OF CUPERTINO
Sanitary i\'u.
1962 Permit No//� 7
Pee S, ;4z
A,phl`cation-is hereby made toithe City of Cupertino for a permit to install plumbing
pipes,and/or.fstuies 'l istedZ)�n thelreverse side hereof, and agrees to install said prices
and/ur futures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner
By
CONTRACTOR, AGENT
Phone < .0✓✓- 3—
o State
License X /�/0.25�
Approved ""�—
PLUMBING I SPECTOR t/
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final