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4, ,�I,� cAPPL"ICATIONWCITYFOR PLUMBING PERMIT
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ZOF CUPIiRTINO
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' o Application is hereby made to the City of Cupertino for a permit to install plumbing;
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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
wCupertino, and all other laws.applicable thereto.
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PLUMBING INSPECTOR
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