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1752 I) / / YA to11�-r {.-C�✓VV-� LOT NO. , NoVA .PLIG{YTJQNtF,-0R PLUMBING PERMIT ' b•+ A 7 196`� p CUPERTINO . Y . Date 4z Permit No."�� CITf 61F GUPERTINO .Fee $_/s/ `7 Application is hereby made to the City of Cupertino for a permit to install plumbing pipes and%orf fureL listed on the reverse side hereof, and agrees to install said prices and/or4E xturesii'Vaaordance with the provisions of the Plumbing.Code`of the City of \ Cupertino; and all''other laws applicable � - thereto. Use of Premises'' 'Owner, z d��`GTi rC Address By Address � _ �• CONTRACTOR, AGENT, �- •• i ' : . -sr;4., A rove / . t f Pho ne _ PP _ r i PLUMBING INSPECTOR • 5i I f � z7 0 'wo H a' 9 COlin E n ay r. � r C7 N•,w'a ," C7 a',,C �" �",o .'y ;p '� o �. "' F n ,� "�'3 S < � `^ 'v'. ❑ Op Pte' �: .p. , ,ro0 �? O n ' tAj � ' z M D o