HomeMy WebLinkAboutNO PERMIT NUMBER (3)No. Street
APPLICATION FOR PLUMBING PERMIT
CITY PEtQkO
Lot No. ZZ—) —?
Date / — .is 14 1968 Permit No.
Fee SOV, �% •
Application is hereby made (fo'ft q Cjtyrof � tATr a permit to install plumbing pipes
and/or fixtures listed on the Mverse si ere sl hQ'!`frc�tall said prices and/or fixtures
in accordance with the provisions of the Plumbing Code of t e ity of Cupertino, and all other
laws applicable thereto. A
Use of
Owner
By
Contractor, Agent
Phone asa - 9411/
State
Addresye7L-?—z i1/lB4'H
Approved
gzaz—
Plumbing Inspector
Dish Washer
Floor Drain �� WATER SYSTEM
Hoon cr Size
Water
Total Fee