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R�.PLUMBING PERMIT
CI17F CUPERTINO
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Date 1y6 195_ Permit No. Z,
CITY OF CUPERTINO pee $
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 insiill'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
Owner PHILIP RAFALOW, INC.
By3fZfl
• V' TRACTOR,: KdENT'�•I
200 Cristich;LSfll x;1 \\
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PhO,1e 377-5660
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Address
Address
_Approved
'� PLUMBING INSPECTOR 1
Water
I UNITS I FEES II - - IUNITSI.FEEI
ater
Bldg. 6. De pt.
Office Copy
BUILDING INSPECTOR'S OFFICE'
1.
{✓ Sanitary P
CITY O_P. CUPERTINO rr
er Connection - eimit No..... -.:.Y �.?
g. Final tubing Permit No........ : -------------------
No
.O - Lot. ......
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8
wner or Tenant .----------------------- ---- - .
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Tract----------------------------------.......--
.. .---- -------------------
Date
---Date Connected `.....---- .
-- y- ... 9r-6'�-' .
Date Final -
-------- .. --- �....f1J- v......... - 19 ..... V
,.....i
................. .....
X a . PLUM ING ' INSPEC
11117/61-500' f.