51167.1 (2)y�CI 11 f �iYC/�./,� /AJ LOT NO. /Ub
NO. STREET 'I
APPLICATION FOR PLUMBING PERMIT
OF CUPERTINO
�Y
Sanitary No.
I t 19 Permit No S!l ii 7. /
' J U L 2 1968 Fee $ t. 0
Application Is .hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on ��yypde hereof, and agrees to install said prices
and/or fixtur�ee!�ytt/ac an�ui �iBkhions of the Plumbing Code of the City of
Cupertino, auA all ot� laws applicable thereto.
Phone (' ? //
Address ��
Sprinkler Volvcs I - 1 p water ays. tee
RECORD OF INSPECTION
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