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NO. CL'A 1 1$ F PLUMBING PERMIT
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UPERTINO
1�MAY 24 I �'l!
v\ I Date, 195_ Permit No.-...��q
CITY OF CUPERTINOFee $ / '
�1 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.
Use of Premises
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f" Owner Address
_ Address
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Pho740 Longfellow Avenuo Approve
Campbell, Cal:foroia PLUMBING INS EC DR
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