1914 leo-7UY, LOT NO.
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ICA
TI'OIN, FOR PLUMBING PERMIT
a �zi ITY OCUPERTINO
JAN9 ' 3o
Sanitary iNo
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-' llatcL 196-3 Permit No
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w a PER7'a Pee $ / 7
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Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
aw Cupertino, and all other laws applicable thereto.
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Cupertino Sanitary
District Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. _C�-0I9Ppp.[�//
[Plumbing Final Plumbing Permit No. ..-A?V,
..----.....
LotNo. ...... 7._....__..._
Owner or Tenant ...
Tract . .......
..._.......... . .._....... .- --....--.... _.. ......_._...._..---._..-_...._......_..._.
DateConnected ...................._....._.../.` ..----......._......__.....__.......-.._. 19.ca/3q.
DateFinal ..................... .......... ...... -- - . .. - ....__.......-_.....-.
PLUMBING INSPECTOR
11 1 7/61-500