51073 (2)LOT NO.
NO. STREET
APPLIgATIOl1 FpR) PLUMBING PERMIT
Sanitary No.
Date s I Permit No7
"-t• n-1 .nr Fee$
Application is hereby made to therEiky. gf Clot tino 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, anti all other laws applicable thereto..
Use of Premises _ j& ./l_4e-(niCr
Own�V
By_c�E72Vi So ��'
CONTRACTOR,AGENT
Phone -m 93 O/ % 9
State
State License.2oy 5/30
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Address.22e/X/ DAPI-btli iC e°y—
Address V'J- i/Ne,nLou A z
aar¢N {JOS C;7-
PLUMBING INSPECTOR
I Water Heate
rains
CITY OF CUPERTINO
10300 Torre Ave.
COR ION_ NOTICE
ocated atvC O� �►Joc� S o'
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You a here notified that no more work shall be
done u e above violations are corrected. When
corrections have been made call
the inspe r.
Date: ..-- F �.' 4-
252-4505 ------
City Telephone Inspector- . .J , , -