2486 /0-7o QO/V' !�/f!J/I9GL(G C/L'"P'1f LCc� LOT NO.
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z s APPLICATION FOR PLUMBING PERMIT
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" a I Y"OP CUPERTINO \
x o -� ' NOV 8 1963 t sanitary No.
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3 4 Date 196,2 Permit No. c;2T
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Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said priccs
iI and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws appli able thereto.
a w se of Pr mises
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Bldg. Dept
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BUIL61NG-� INSPECTOR'S OFFICE
)CITY OF CUPERTINO
� Sewer Connedio Sanitary Permit No. ......_�.�c��J-----..-..
Plumbing Fin 1 Plumbing Permit No. .GtiC�-- j-,.---,
.............
Owner or Tenant .. ..............--..-. . ......
---------
Tract _.-- -------......
Date Connected Z - / — c L4
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DateFinal ..--------------------.._...._... '.G� - - ---_. .. ........._....._. 19---— --
I]I 7/63-I1,f PLUDNJG INSPFZ' R
.en.