2485 /AJUiI //Jo .� h�`I71 i/JH y LOT NO. J +Y',
NO. �STR �T'D
N 'j e#PPL'ICATIO,Nj FOR PLUMBING PERMIT
ChTi' OF CUPERTINO
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o V 8 1963 S:mnary No.
3 a Date Z!1- . 196d Permit No c O
w 4 -1' OF CUPERT7gee s �s 7' n�
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Application is hereby made to the City of Cupertino for a permit to install plumbing
'o 1- pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i 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.
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CONTRAcro ,AGENT'
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
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Sewer Connection Sanitary Permit No.---- - ......
�Plurnbing Fin Plumbing Permit No ,-.4-944.........
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Owner or Tenant ---- ----I. ( \
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... ...... . ... ....................---- --
..........
Tract ... ....... .............
Date Connected ----------------
-- ------- ... ---- -------
Date Final -----------------------
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III 7/63-IM --
PLUMBING INSPECT