51107.1�z Q ✓ `"� t-C�✓aii_� ""„-a-�c-fL/ LOT
NO. STI EE"I
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date e 1,7 Permit Nn S//o�p-/Fee$ 3.50
AppliVllruy.lres
r�}3m1Q67o tof Cupertino for a permit to install plumbing
pipes all listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with th >rovisions of the Plumbing Code of the City of
CupertirCI.}yyl t}�LttthI ll►PER11 11 � thereto.
Use of Premises -- 1�1J1 Home
Owner R.A.Humphrey
C.W.C.of Los Gatos
22286 De Anza Circle
Address 611 University Ave.
CONTRACTOR, AGENT
Phone 354-1845 /
$tare License 6652 Approved ( Z/
'11\�� PLUMBING INSPECTOR/ v
FEES
Water Heatc
aste
rant
Icr Volvcs
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
22286 1 De Amza Circle LOT NO.
NO. STREET'
APPLICATION FOR PLUMBING PERMIT
a CITY OF CUPERTINO
viz
x�
r o Sanitary \o.
< Date May1967 Permit No .-// O y.
X:1
w C " Fee S 3 SD
x
Applic on is hereby made to t e'City of Cupertino for a permit to install plumbing
`o _ pipes an �drogyrlc{ Iistg8 th Nv&se side hereof, and agrees to install said prices
> and/or fir"
tures in I c6rdance with `provisions of the Plumbing Code of the City of
a w Cupertino, and all other lawsapplicablethereto.
.. Use oalyisDMERINO
INO
00
3 Owner Traeumer Enterprises Address 22286 De Anza Circle
0a
ZJ
o By Address
3 a coNrxncrox, AGENT CULLIGAN WATER CONDITION
-0 Phone 354-1845 OF LOS GATOS
w Z
w w UNIVERSITY AVE.. LOS GATOS. CAV t
a oState License 6128 APPro`LtJf�10 4-1845
u vG�
PLUMBING INSPE J
FEES I
ns
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Alain Drain
Final