2417 LOT NO.
NO. SIRE&
A'P -LI�CTION FOR PLUMBING PERMIT
q Y OP CUPPRTINO
a ,BSEP 11 1963 Sanitary No..
o a Date 196Z Permit No
3CITY 0 CUPERTINO °
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Fee
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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
> < and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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