51179zi
NO. STRF.E'1'
LOT
PLUMBING PERMIT
1111 Sanitary \'o.
CAU 6 1968 sem, y
Date 196 Permit No �
^�s''T /� 3,
Applicatiiyi Lt icr myjJ� ��TING Cupertino for a permit to `install plumbing
pipes and/or fixtures listed on the reverse 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 Premises
Picone C `1' 3 — o ( —1
State License �)a Y- 14 a3 6 •
PLUMBING INSPECTOR
Water Heatc
Boxes
ns
rmkler Va Hes
RECORD OF INSPECTION '
Underground Rough
Partial Rough
Rough. Complete
11nin Dra'n
Final 1 l