2187 LOT NO._ J /
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4AP�PLIC�AT710 FOR PLUMBING PERMIT
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W < 3 ' JUN 2O 1963 COPY OF CUPERTINO
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3 U Date nw C�:wHw� M4Vfl '196a Permit No —
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a w Application is hereby made to the City of Cupertino for a permit to install plumbing
o r- pipes and/or fixtures listed on the reverse side hereod, and agrees to install said prices
> 1- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
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w Cupertino, and all other
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2yWILLIAM D. BENEVICHQ�State License C36 Approved
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Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Fj Sewer Connection Sanitary Permit No. ..........
M--p--1=- bing Final Plum mg Permit Ng:>---- ..............
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Owneror Tenant .......................... ............... .............. ... ..
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Tract .............................. --------
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Date Connected --------------------------- lq;�
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DateFinal .......................................... ------- ........ ... .................. 193.....
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111 7/63-IM PLUMBING IN ZEj OR