1287 / clq 3 I d?& LAAJt
LOT NO.
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J libW PLUMBING PERMIT`
w' 961 CI OF CUPERTINO �j
\ _ Date �5— Permit No. /,;2,?-7
,^;2' , '7
"�� Fee $ ` � f ' So
Application is hereby made to the City of Cupertino for a permit to install plumbin"g
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 oftthe City of
7 Cupertino, and all other laws applicable thereto.
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Use of Premises
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PLUMBING INSPECTOR
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• Cupertino Sanitary'
Office Copy
BUILDING INSPECTOR'S OFFICE <
CITY OP CUPERTINO
❑ Sewer Connection . Sanitary Permit No.
Plumbing Final Plumbing Permit No- ---- _
I _ � Lot No. .-• -
. . . ---.
Owner or Tenant
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'Tract .. /L�Lfi/1'r•<�Ldti - _-
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Date Cor nected? 19 J>t`.
Date Fm11 ... f i"`! 19GP
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ttl i/60-500 ,UMBRVC�'INSPGCPOR':- •'