1142 �09�5 PEOPFR v7PEE . LOT NO,
NO. STREET
A.PZLIG&TION FOR PLUMBING PERMIT"--.
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D OF CUPERTINO
Date 95_ Permit No.
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n 'AjD)T.i6,DFheGUP&,RT4 0City of Cupertino for a permit to install plumbing
.. pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
1} M and/or fixtures in accordance with the provisions of the Plumbing,Code of the City of
tJ Cupertino, and all other laws applicable thereto.
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Address 4CT eApprove _PLUMBING INr±r
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BUILDING INSPECTOR'S OFFICE
f.ljjl;,-CITY OF CUPERTINO
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