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2024 NO. STRLP."1' N APP,LICATI�N�OR PLUMBING PERMIT zZ ® 171 OI cUPERT[NO r o - Sanitary No. abate fl 71963 1��_ Permit No Q U w $ �eZ 'X a o APpG�4t nP ire[CIA IC RTIieKCity of Cupertino for a permit to install plumbing 0 1 pipes and/or fixtures listed M the reverse side hereof, and agrees to install said prices Z H and/or fixtures in accordance with the provisions of the Plumbi g Code of the City of a w Cupertino, and all other laws applicable they to. w x � r a Use of Premises 00 O N Q a q r Owner ! Address O 0J 3 u 4.41 J z By/ ,20. -f tai Com— Address �'17 �� � 0 CONTRACT OR, AGENT 3 � — < Phone � '/ �`/O w z < o 'State Licemse `IS SGS Approved S R � tr W ?' 00 C^ a- fin'+ ❑ m H i% N ❑ T. fA by 4 � �i t3 f_A v� �• C A N Vl 1 N• O N R S C S h1 y rz lz 7 h+ O .'Yw `i' .�S HH ;� N n zHHH � w C1 o W i W > o o o 0 W _ z -71 ^ �' 5' B ❑ ' upo r+ �. n G1 ti y