1766Iy / v� its- l �A LOT NO. V
NO. E\ -
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APPL1 IhTJOINj`FOR PLUMBING PERMIT
�L OF CUPERTINO
• ACUG 3 D 1962 `M,
Or CUPERTINO
Permit No. z 71042
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Fee $ /7
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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of
Ci
Addressz��'
pl�
Approved
PLUMBING INSPECTOR
Water
aste
tea
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO �f p
0 Sewer Connection Sanitary Permit No....aC.7/. --
[J/lslumbing Final Plumbing Permit No. /T1.... /.. /
Owner or Tenant
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III 7/61-5oo