HomeMy WebLinkAboutNo Permit Number (4)04
/o/G J I_._/! / t+ /� l��'-- M1/f L LOT NO.
APPLICATION FOR PLUMBING PERMIT
A11G 12 ia68 CITY OF CUPERTINO
p Sanitary No.
Date• - -.� 1961 Permit No
Fee $ 18• �o
Application is hereby made to the City of Cupertino for a permit M install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or•fiztures in accordance with the provisions of the Plumbing Code of the City of
Cupertino; and all other laws applicable thereto.
Use of Premises -T
Owner. �• �''vDSAY
By Cfy!'Q�G
CONTRACTOR, AGENT
Phone 7'1!x' — C"' 2-6
State License
Address
Address G -;I- ' L �64ez&7 J%
Approved ILLIAM D. BENEVICA /
PLUMBING INSPECTOR /
FIXTURES I NUMBER
W
MAIN DRAIN
Shower / /. J7? To Prop. Line
Machine
Floor
To Curb
Fee