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STREET O ? APPLICATION FOR PLUM CITY OF CUPERTI Date- November 3• 1952" V 0 do v0 C' LOT 1•yT.� ~ ' BING-PERMIT� NO Permit No.��"'9�1 CITY OF CUPERTINO , 1 Fee $. Lrt'AVo Application is hereby made to the City of Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or fixtures in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Owner Better Cupertino Homes By_Edward -i Nag111 IAC CONTRACTOR, AGENT i Phone CH 3-0661 Address156•W' Jackson Hayward Address -P_0 Rnx 606 --Santa_Clara Approved PLUMBING INSPECTOR I Water .Sprinkler Vowes .1 1 „ .11 Water Sys. Fee I / nn OWN Ndi Y- Date . To, k� Address ...�d �E OF ADDITIONWAL-PCHARGE" 'CITY,•O CUPPRTINO LE w: ,pp',� W Bljll DING1fN$PCCI OR S GI ICFy'tg'r, "y N_� , r y Per igt ...% r y Amount s' "'=14, 106 3/59-30(7 ' , .. • ���1 •!•_. �� �`^. V - -L9 ,.t • ;Cupertino Sanitary y,Office,copyx ABl71LDING}`�INSPECTOR S-. FFICE,J.�.!�''+� .�•,;;" L✓ i ("!4CIT!f ER`�, { �.�•, ,,, +•% � CITY OF CUPERT'INOy +.r -/• ? k. 4.a Srr :.�:�sYr^"'.�x 4''. p or -. ❑ . Sewer Connection • ,� '"""` .,..'+Samtarq._.Permtt lNo...iQ?/?._'..+ - © !Plumbing' Final - * _Plmnbm• Permit}No:.:.�+ Clr _2 .. ti. U _ QR neC O[ Tenlnt _� At llo? 7..- L��4 .... :.. ....: ..........