1286 , `. 2L-W ---t—oZEC C,4N LOT NO. [L]
NO.
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LICA �R PLUMBING PERMIT
^ 3
OCT CI CUPERTINO
I asst •
/. �Date-OPT,r2gM n�5_ Permit No.
Ur. 'Vu 1 Fee $ P�I S0
I �
pplication 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;t}i ,City of
i°`'Cupertino, and all other laws applicable thereto.
.'Use of Premises
Owner7 'fC�Jf Addreko—�/
Address D 45,_ PProver ) ,: FAPLUMBING INSPECT �.
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- Cupp"''o Sanitary
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
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❑ Sewer Connection Sanitary Permit No...:.. .. 7,�
-,M-�'plumbing Final •• Plumbing Permit No. .. —�..Z....._......
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Owner or.Tenant 1%�J'..�A!Ga7?2�i0.:. -
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Date Final i. „ ...-- .... 19�{
Date Connected ,•�
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