51157/O L O I-?(� i" `t ice^ 2 LOT
NO. STItEEI'
IGaFOR PLUMBING PERMIT
�L.likOF CUPERTINO
itary No.
Uate ,"'ffJUN 2 3 1965 „7�1y16_ S:mPermit No.
Pec S zz O_O
A&Ti onffheq"R city of Cupertino for a permit to install plumbing
pipes and or txtures isle on t le everse 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
q COA'TpRACTOR, A NT
Phone /� 0 7 p
State Licens��? Z. S—ST
Address'�)/"C-
1
Approeed
PLUMBING INSPECTOR
FEES
Water Heate
ns
rinkler
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final