1798 ..1/G�B�LLLG/(E�tC� LOT NO.-�/ 6
NO: 4R�TAT ft, OR PLUMBING PERMIT
® C � OF CUPERTINO e
iii+sEF 2b 1982
Date 195_ Permit No. 1270v
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CITY OF CUPERTINO Fee $ 1 °"
M 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
c and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a� Cupertino, and all other laws applicable thereto.
Use of Premises y�
a �� l
Address
Address
CONTRAROR, ENT
Phone/_ �l�d Approved _
PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
C] Sewer Connection Sanitary Permit No. ..................................
[P--Plumbing Final Plumbing Permit No. —1-7�V
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Lot . .....
Owner or Tenant
. . .... ............. ..... .. .... ....... ...o... .........
Cid
At .......✓/01 -----.T`......... -- ------- --
Tract --- - -------- ---
Date Connected . ................... ...
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Date Final ...-----.-_-...---....._.17,;n
......................... ..17,;V. .. ...l.....--.---...__... .. -- - ----
B NG- -INSPECTOR-- -BING WSPFC-
111 7/61-500