51114�o
NO. STREET'
LOT
N < ION FOR PLUMBING PERMIT
i i rJ���t OF CUPF.RTINO
x o ® Sanitary No. _
0 a llate16-4 Permit No
3u /
w LL Fee $
�o
A in hers �y�eq �gCity of Cupertino for a permit to install plumbing
o a pipe d�'or� urdcl 9FeL3.(Td 1 averse side hereof, and agrees to install said prices
I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
wx
� r
LL Use of Premises
0 0
1 N
o a Addres ,a
y{o
z z B L aac. Addr Ltco
V CON ACOR
T, GIINT
— < Phone �2 % 2
w z
rc a
a o j State License ���-��z Approved /
/ . PLUMBING INSPECTOR V
FEES
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
/V �'41 Y `— b 4 /J �% LOT
No. STREET
ff
TION FOR GAS PERMIT
® /� �IITY OF CUPERTINO
W z
s¢
y O
¢_ //
3 a .1 rh �rt F7-�,96 196 G Permit No.
U
WFee S 7
1 o r�+ TT p ti I jQ� to the City of Cupertino for a permit to install gas pipes
W
� .Gar" of app-wfflS bon the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
< m of Cupertino, and all other laws applicable thereto.
v x
r r
W
Use of Premises
00
30
3
Owne
ZJ
J Z
O
Bvj
3 G
— m
cot
Phone 3 2-
WW
W W
¢ 6
°aState
License -,z
U
Addrdfi9 5NI 5" A- � Y
Approved
PLUMBING INSPECTOR V
Type of Appliance Units Fees �� New Replace Relocate
Gas Ranges
NAME
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved ...._......--------r-_....._......_.......................--
DATE INSPECTOR
y I Ca /- zi/ 2606
LOT NO.
NO. STREET
W ¢ JINo BUILDING PERMIT
r o ® TY OF CUPERTINO
�LL
° <�J N 16 196 sanitary No.
sU
Date 196 Permit No.�
,o �/ L (� �.p yg}
o < CITiPPOFiorU CP�TI1V�r a permit to
i m astory, Type 1;PeBuilding
a w
to be occupied only as in accordance with
00 plans, Specifications and Plot -Plan filed herewitO PI Ck Fee
F; Estimated Value of Improvements, S Fee $
oz J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
oCupertino will be complied with. /,1 t�
3 Owner J. P.411OE Addr4o 0 5
w ,p P!
re a gy Addre
us i
Approve
„/ , State Licensg4L20,5?a BUILDING INSPECTOR ✓