51177.1N Q
z
I—L/ LOT NO.
NO. STREE.I'
®IQ7�fl FOR PLUMBING PERMIT
66�� I OF CUPFRTINO
�JUL 13 1970 �'
. 9670
Sanitary No.
Permit No. S// 7"?.i// r
141 �" W F Fee Sr
c ho s hC0r t�N® City of 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 Single Dwelling
Ditz Crane Co, 229,RgsLa Cruz Blvd. S. C.
z By Bohart Plumbing Co. 167A�9tesmont Ave. Sr vale
O 3CONTRACTOR, AGENT z 245-2323
— <m Phone JJ '�
W a
State License 186579 Approved x
PLUMBING INSPECTOR ��
Floor
Size
To Curb
Total Fee