2765 LOT NO. _
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R PLUMBING PERMIT
a CITY O[t,(;UPIiRTINO
' ► JUL A'� 19 4No.-
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3 a Date 196— Permit No 7��
LL CITY OF CUPERTWO Fee $ /-��°
0 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 H and/or fixtures in accordance with the prov'sions of the Plumbing Code of the City of
a w Cupertino, and all of n IS applicable rercto.
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U I PLOMBING INSPECTOR,
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BUILDING INSPECTOR'S OFFICE
CITY 01: CUPERTINO
Sewer Connection Sanitary Permit No.
�umbmg Final Plumbing Permit No.
LotNo. .-------.... .. .............
Owner or Tenant ..... -----
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At -- N ----
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Tract ................ . .&� YAC.. ------- --- ---- ...... ..... - - ------- - -----------
DateConnected ------------ -- ------------------ ------------- ............... --------- - ------ -- -. 19-----------
Date
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Date Final ---------- .....................
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]1 1 7/63-ID[ PLUMBING INSP17CTOR