863 NO, .STREB.
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
195— Permit No.
Fee $
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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 I
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises 1�1
v � 1
Owner Address
gyJOE AMARAL PLUMBING, INC.
Address /
Phone SANTACLARA, /fid NIA Approve %' •
{ PLUMBING INSPECTOR �%
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Cupertino Sut:txry
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO II' // �y, , ❑ Sewer Connection Sanitary Permit No. ..107
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DateFinal .............................. ............3. -..... --- ..........._...... ._.......
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111 1/60-500 I-LUNIBING INSPLC'COR