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1568 �ll / Ir- ��/ �- 0T NO. NO. sla ifIv ® PL4 1[04:,FOR PLUMBING PERMIT yF I - OF CUPERTINO rmAy 2'4 1962 i Date 93_ Permit No. J S� CITY OF CUPERTINO Fee $/S '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 I, and/or fixtures in accordance with the provisions of the Plumbing.Code of the City of Cupertino, and all other laws applicable thereto. +i Use;of Premises— -,2,& Owner f// /C • /r�t+�C/�� Address =3•i �4'. Z (Ck .gy t. .y'.SIaFF VVAYER �` _ Address rr.;+ Ph I L4("CONTRACTOA, AGHNT +t i A roved '( �' 4{',';v-ry /mow; PLOMBING INSPECT A F, > ma : 9> xxhf dOc� m � .der, r � � �w o o B ❑ m 0. N w. :n � In O .s .,• �rf `E. Z z PU b r. r • N y N Cn .� 0 o Kf