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25282 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINOILDING-E1TCT111 A, PERM]I No. APPLICATION/PERMIT PLUMBING-MECHANICAL 25282_ ] [� n � Lg] NUILUING DIVISION BUILDING PROJECT IDEM'IFIC.SI'[ON L J L BUILDING ADDRESS: SANITARY NO. APPLICA DON SUBMITTAL DATE E� On/ !3 UNIT LOTH 13316' 7, � "% 7 OWNER$ � � 1:). //�� COM'R ORC� 1 LI NO: l/% IJ/6 `I $/$/// �T D !(p L6C.a �} !��/ NIC CONTR(lLN � MW ARCUI RiCI'/Il1G 13I3R: LIC NO: ADDR /I�Jf� /'T/I� El CONTACT: PHONE: BUILDING PERMIT INFO MINI Al E W y&i f(4 co) r5 ( QTY. ELECTRIC PERMIT FEC 3 /ISN BIAG ELECT PLUMB MECII PERMIT ISSUANCE 1:1 El � ElLICENSED CONTRACT OR'S DECLARATION APPLIANCES-RESIDENTIAL OSZ Ihereby affirm Out l am licensed underpmvisioesofC'hapter 9(commencing with TOR DESCRIPTION FOO Section 7000O.f Division 3 of the Business and Profenioa.0 sand my liceroe is in PANELS ^�'n ,�_ Ov/ xtF Oilforn undcffb. �l LieN � —3)7U C� aw-�l FZG Lice Ian [� IO UP TO 200 AMPS c" Line Date Contractor G 301-1000 AMPS ZS'-Z ARCIII'IECIESDECLARAI ON OVERION)AMPS SQ.17.FLOOR AREA 5/SQ.IT. Oz—a 1 understand my plum shall be used as public nmNa E I [ �g 1=