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LOT NO. J e_ --
NO.
f&hPINLI
' PLUMBING PERMIT
MAY 11 199CUPERTINO
Date L t Permit No.
UIVY 1 ING-. 5D
Fee $ � % • `
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
Owner & /PH�ILLIP�PAFALOW INC -
y— . W. [trmk... Yn
ZUU riSt1CbdN16.CTOR, AGENT
Phop Pbell. Calitornia _
Phone 377.5660
7a� dAAyIUQ,�� Rd
Address 5 �a
Address'
Approve
PLUMBING INSPECTOR
I UNITS I FEES II 1 IUNITS I FEE
Fee
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
ewer Connection nitary Permit No...
a, -Plumbing Final lu bing Permit No.........�.((. � fI
Lot No. - -
Owner or Tenant ------------ - '
... ...- .. .�' ._
.. ....... .... .
At .
Tract ----------------------- QA� •pp� .��
Date Connected ......................... ..... --- 19.....
Date Final - 19---
11. .
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.. .
PLUMBING INSPECT
.111 7/61-500