25769650 1 11/ ' LOT
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k-PP[I A,- j p0OR PLUMBING PERMIT
FJAN
CI QF CUPERTINO
22 196A ' 1
Sanitary iN'u.
D)Ppllimffti.on
•n196� Permit No S
ia'.^ Fee $�____
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 ace nce with the provisions of the Plumbing Code of the City of
Cupertino, and all o ler taws Lb re
Use of Premises liri-[.7
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CONTRACTOR, AGENT
Phone. C° >�� �'- Q 7 /
State Licen O 30
Approved ti
PLUMBING INSPECTOR
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