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948 �4 _ -- LOT NO. STREB-, e APPLICATION FOR PLUMBING PERMI CITY'OF CUPERTINO tt 7 l Date , 195_ Permit No. r 6 �• � Fee $ 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 and/or fixtures in accordance with the provisions of the Plumbing Code of the Cit4of Cupertino, and all pe otherlaws applicable thereto. .. r . . u Use of Premises � ,v 1, S` _ , Q V w Owner -� Address r -r gyrs '' Address CONTRACTOR, AGENT + Lf Phone "r• lc' r�'�2.'S�� Approver 2- rni° L41 A 1' PLUMBI G INSPECT R v > CI`wn 7n° ox ro d 0I w a R O 7. w RI—• o S a d N H •� p 'p p• p " y m tis w arT" N o x M� N V _ � W 11Y H n � ^i r� 's1 'J• y £C —— r-] H moi' Vll ^'3 rv'� H � Vl po H y3. 2 9 °• O e�, l� � R H LAI r a y I > z • � - ti's'"no�Sanitary ' � �y.F •hriice CaPY BUILDING INSPECTOR'S OFFICE:' ' CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No- ---- . �17p-.......... Plumbing Final Plumbing Permit No. .--9,Z..A ................ LotNo. ......._.----------------- . Owner orTenant .../. f.e....r..e�.�e......4..... / //wr.`" '-'♦ -----------.____--"-- At - � •' -C Tract - Date Connected -----------------------------/,)/3 Date-Final,.-'------ .._ti;-----------....... ��J� \ 111 1/60-500 MUING INSPECTOR