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APPLICATION FOR PLUMBING PERMIT
a CITY OF CUPERTINO
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° Application is hereby made to the City of Cuj nfi for la:pce nil to install alumbing
o . pipes and/or fixtures listed on tlie' reverse side hereof, and,°agrees t a sai ices
> �`- and/or fixtures in accordance with the j)rovlsions of the Plumb the Cit of
w= Cupertino, and all other laws ap; 'cable thCretor�:��pta .
0 Use of Premises
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Owner-4--?-J. ^ 14 Address
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CON'T'RACTOR, AGENT
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Y State License Approved
— U� PLUMBING INSPECTOR
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h/�10135 _Mc aren +Pl Ce s LOT No. a0
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NO, II I�STR[,L_S''"(�
z ` ? APPLICATION FOR%ILDING PERMIT
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a o '�, JUL % .SCI"[=Y OF.�CUPF.RTINO
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m= a Uate 4V1� r " I�I1I9t6t.Q?ftn Permit No.�,
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o Application is hereby made for a perry@ to erecit
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z N a__�story,Type 5=T_T Building
r : to be occupied only as sfdwl in accordance with
00 plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
> "; Estimated Value of Improvements,$ 25,000. Fez$ 78. 00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J,z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with. 587 N. Mathilda,Sunnyval
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ne 738-16 Approved License 88319—B-1 BUILDING INSRFCI'pR