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862 ! .w ��{y.�°q�lJ I l�-�^"(�[CLL C., ,(/✓�'�J LOT NO. /�+ f4-AP;PLICATION FOR PLUMBING PERMIT..,. hI� © CITY OF CUPERTINO Date "" '!q 195_ Permit No.--,?6� Fee $AF 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 City of Cupertino, and all,other laws applicable thereto. C� Use of Premises a C r L Owner ress J(3B MARALOdirR�cibE3,IRk63rIN - Address Phone 3390 THE�ALq IEDA Approve SANTA CLARA., IFORNIA PLUMe1NG INSPECTOR C9Cw Axmduo ww :� i� Ei� O. nw .� w07 �£� Cv' n- o 1 H y ----------- -------- — ---N O n �