51073 (2)S
N Q
W Z
—� J • / ` -S./7 , LOT NO.
bxTR .T
-, ITI�OR PLUMBING PERMIT
OUL 26 1966 1 "oF CUPERTINO
I
Sanitary No.
�) � � 1�
D t IITY �F�U&M, b()6(,- Permit No
CC
l+ IY Fee $ J
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 Premises
F—t
Owner,
A
Address_-Zyl7.
C1412A10�CSTl� C
uy_ / �- F eU�> r e�
Addr ss 5
U % T t ( S
CONTRACTOR,
Phone
��AGENT
!T 5-7
ri
State License I
r 3 SQE
Approved
PLUMBING
INSPECTOR
r.]
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
N �
W Z
El (94
NO. STREET
1014
®°�1'P,PLICATION FOR GAS PERMIT
Al ITY OF CUPERTINO
f2 6 196� N
Untc 1 k'_' R I 196CP Permit No.
s
CITY �- Fee 8
A,Q!cationli�+n1ERTPJP to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as liste on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises �p 2 . J .Y —r- C— P-> u
Owner c ) `J 2 k' I I..r
ey�f� xis y
CQNTRACTOR.AGENT
State
Address 20--V? Z 4zellN5wg
Address W - %
Approv
PLU INC INSPECTOR
of Appliance I Units Fees
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved _....... .............. ...............___----................_
DATE INSPECTOR