51167a aNc51 ✓pri-reel(.) 7-4f,L
NO. STREEI'
APS ICON FOR
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Date I-_ G
C.�.(tZ(J LOT NO. -�
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PLUMBING PERMIT
CUPERTINO
Sanitary No.
Permit No
Pee S -2/-
Apc�t�pncrc{'t7�'$r[I[P1hCfQity of Cupertino fora permit to install plumbing
pipes rxiydr t, ures li t t he r erse 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
it W. L HICKEY SONS INC. OCs , CCgi
v _ P.O. Boz 1204 199 r^,....__, Address
5 z' ISI.
G i;fVaQe y�IifT94086
Phone 3 � — iH u yy�
.I State License %J�.2 '2 Approved WILLIAM D. BENEVIr
µ PLUMBING INSPECTOR
UNITS I FEES
nkler Valves
Boxes
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final