51105LOT NO.
NO.
® ¢@LIC}TI FOR PLUMBING PERMITS
z < 1 �� I�j OF CUPERTINO
W a U Sanitary No.1.
0 0' Date` ,fMAR 2 9 1965 6— Permit No
a
3 LL Pee $�`/�
�0 AIQI�a o he City of Cupertino for a permit to install plumbing
o 1- pipes andor xtures listed on the reverse side hereof, and agrees to install said prices
a 1- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
< w Cupertino, and all other laws applicable thereto.
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Use of Premises
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Owne
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State Licensaa-T
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Address a �
Address /y Y
Approved
/W
jV PLUMBING INSPECPOR
FEES
Water Heate
rea
Sprinkler Valves I 1 II Water Sys. Fee
RECORD OF INSPECTION
_Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
,;2-a Ji'
,r,tJ LOT
NO. STREET
APPLICATION FOR GAS PERMIT
CITY OF CUPERTINO
Date //
Application is hereb
and/or gas appliances as
and/or appliances in ac(
of Cupertino, and all oft
Use of Premises
1965 Permit No.
Per$
made to the City of Cupertino for a permit to install gas pipes
sted on the reverse side hereof, and agrees to install said pipes
}nice with the provisions of the Plumbing Code of the City
r Wks aoAlicable thereto.
Address .3
Address d� GLS-4-�� C%
Approved
/ PLUMBING INSPECTOR
of Appliance I Units Fees
Heaters
Miscellaneous
NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees �� S
Tested and Approved....._.................................._....__..-------._._.....
DATE