2211 NO
APPLICATION VOR PLUMBING PERMIT
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s a ';,` Sanitary Ido.
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� ° Application is hereby made to-the City of Cupertino for a permit to install plumbing
`o r pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and fixtures in accordance with the provisions of the Plumbing Code of the City bf
¢w Cupertino, and all other laws applicable thereto. "
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Use Of Premises
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Bldg. Dept
(Difie Copy
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BUILDING INSPECTOR'S '6
FICE
CITY (DF C-URERTINO
F1 Sewer Connection Sanitary Permit No. ....3 ............
E4l1�Mbing Final Plumbing Permit No. -----------
Lot Noll----- ...............
Owner or Tenant ---- - ------- -- ...........
At ...........1---- ........ ........................ ....................
Tract .........:................ ------ ------ --------------------- ---
Date Connected .............--------------_._.'1-`- ---------------
DateFinal -------------------------------
------- fIZIN
Ill 7/63-IM