NO PERMIT NUMBER a✓ �11 Nl , �,� tOTO.
NO. STREET
APPLIC• TION � P gUMBING` PERMIT
CIT']' OF PERIT,INO
Date :���l�� ��� 195_ Permit No.__�{
Fee $
Application 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 accordance with the provisions of the Plumbing Code of the Cityof
Cupertino, and all other laws applicable thereto.
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Use of Premises
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C`O Owner Address
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alirl' _ Address
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Phone 33Approved !-/�.rl
SAWA CLARA CALIF -i—
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PLUMBING INSPECTOR
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BUILDING-IN' ECTOR'S= OFFICE
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s � SeQo€ orrnecton Sanitary Permit No. ....
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'•..-9!agPlumbing Final Plumbing Permit No. ......
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Date Final -...----------...---'-------`�/=`--r-- _ -------------...................... 19,64
P MBING INSPECTOR -
111 1/60-500