HomeMy WebLinkAboutNo Permit Number (3)J z
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NO. —SUEET
APPLICATII NtFOR PLUMBING PERMIT
CITY OF CUPERTWO
r�ufjr, i u ossa Sanitary No.
Date r+ 196& Permit No
r.w-v �— •��n.,. ) Fee$
Appllication 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 rices
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 a jr
Owner—(2--L Addressss
P..Ih"f iaAVk9 P'O.r Ike.
Phone/ & os --Z6 San Jose, California 95112
State License/ 7 ];";?
WILLIAM D. BENEVICH
Approved
PLUMBING INSPECTOR 1Z
FIXTURES I NUMBER JJQP MAIN DRAIN
UNITSI FEES 11 UNITS I FEES
Lavatories . �fT ,60 11 To Eaistins 1 1
Dish
To Curb
WA
Permit Fee DO
Total 43 �, t' 11Total Fee 2 5�