511414?w LOT
NO. STItEEt'
FOR PLUMBING PERMIT
OF CUPERTINO
fJ(JL Sanitary No.
Date13—
'961� Permit No
P'�� b/�1 Pce S Z6
p h an rs 1 (� /� c Cit}' of Cupertino for a permit to install plumbing
pipes and/or fixtures h9ted�'t9k{ reverse side hereof, and agrees to install said prices
and/or fixtures in accordancewith the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable Shereto.
of Premises L
No ClhcrrC�
Jz 1"// //1/It/ida>/'i
C NTRACCTTOpR, AG NT
3 uai Phone
.Z
W W /�U 2 k6
a a
a o State License
U
W
7S
Approved
1/
PLUMBING INSPECTOR y
Water Heate
Sewer Boxes
rains
ze
nkler Valves
UNITSI FEES
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
M
,e 4d
NO. STREET
/j PPLICATION FOR GAS
z i 1CITY OF CUPERTINO
f° J11
Y
W LLI I
° a I Permit No.
3u ��j�
—
° App cats %t eby made to the City of Cupertino for a permit to install gas pipes
°o and/or gasapplhd� s&I} Aed on the reverse side hereof, and agrees to install said pipes
i m and/or appliances in a e with the provisions of the Plumbing Code of the City
z W of Cupertino, and all o er law 5 applicable thereto.
0 LL
I Tse, of Premises
Cyr�
00 1
3 w er U/C 0� rjs r� Address ����&d
o Address l T70�
ONTRACTOR, AGENT
3 m Phone s'7 ,
�z
W W
°a o State License
LOT
PERMIT
Approved
PLUMBING INSPECTOR
of Appliance I Units Fees
Trpr
HOUSE GAS PIPING
Number of Outlets I - j Size of Main
Gas Piping Fees V-501
Tested and Approved _..............._.....,..............._..------........_..........--
DATE INSPECTOR