1205 /D S/DCy` !1T LOT NO.
NO. Ti
P I� PLUMBING PERMIT
E; UPERTINO
Ate 3 0 1961 --
Date 1 _ Permit No. L20
CITY OF CUPERTINO
Application 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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all of laws applicable thereto.
of Premises
J/Use
V
ner Address �' -
/ y S Address
ON CTO AG R
Phon — d Approve
PLUMBING INSPECTOR
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