1098 NO. STR RT
fl�JRA FOR PLUMBING PERMIT.- • „
OF CUPERTINO .
Da i APR 1 4/ Permit No. 1099
1� �ITY OF CUPERTINO Fee $
pplication is hereby made to the 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
l 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
Owne D/ Address
ByAddresses Ce/
QCONTRACTOR, AGENT
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Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO (�
n Sewer Connection Sanitary Pernik No. ...........
D�Plumbing Final Plumbing Permit No. .'19n
/////d.............
Lot No. ...../W............
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J , f
Owner or Tenant ... ._......-------------- -�------------------------_--
At ... 1 . 9../.. C�� ,............. ..._..................._......:------------
Tract ........... ..... ...:................... ..p..................---......................................................
Date
Date Final
........................... ..:.......--- ----- 1961
. ..
j
nal .................................... .. //........
.........:.........
LIl 1/C0.500 (/J/KUMBING INSPECTOR
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