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FOR PLUMBING PERMIT
6� CUPERTINO
W All , 21 1963 1: Sanitary No. //
Date 196 Permit No 7 O
CITY OF CUPERTI"4O Pee s_l 5 - o
Applitahon is hereby made to tfi City of CUpeitino foi,a peimi[ to install plumbing
pipes aril/or fixi6ires listed on [lie ieveise side hereof, an8 agrees to install 'said pines
and/or fiictiiies in actoidancc with the pioLisions of the Pliirnbing Code of the City of
Cupeitiiio; and all ottieii laws applicable theieto.
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Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY 017 CUPERTINO
❑ Sewer Connection Sanitary Permit No. ......
in �Plumbing Final Plumbing Prm, 0
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rm, ,
Lot No. ....... 3Q. ................
Owner or Tenant .............
----- --- ...... --- ........ ----------- A -------- . .............
At .....
Tract............................. .
- UL� .......
Date Connected .
------------------- -------------- K�4 -------
............ . ...................
Date Final ............................
................... ...... ------
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PLUMBING INSPEQTOR
III 7/63 -IM