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! APPLICATION FOR PLUMBING, PERMIT ;
f CITY OF CUPERTINOf
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`." rD,�e� .' •:r_....�G�%3 � 195— 2 �Permit�No.'- ...
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Application is hereby y mad e to the City of Cupertino fot.a permit to install plumbing
pipes and fix YStr�•� t�Ie reverse side hereof, and'agrees to install said prices
l` a 87,Al 6 es 'A� c dance with the rovisions of the Plumbin Code of the Ci of
r� 1 r. p 8.. City
G`upert{no, andlall other laws applicable thereto.
Use ofPremises
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Owner �ni Address
By Address_ Address 24� SsCO�T P
CONTRACTOR A ENT )
Phone—61/f-- �— a / _ Approved
PLUMBING INSPECTOR
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^� Cuper, o}.�r nary ,ll:y,
r BUILDING INSPECTOR'S OFFICE '
CITY OF CUPERTINO l
❑ Sewer Connection ,yskSalnitary Permif'4M: ----- �r�/�,........-
Plumbing,Final Plumbing Permit No. ......64, /-:Llp........
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r Lot ....... 7..:......:...
Owner or Tenant ... ...
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Tract ..... .:.......:........_---........................
Date Connected ./ 6 •
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Date sinal ............. ----.._.......:.., 1.--.......—.....--"...................._..�...-.....F._C 19,�.l�..�..p
.11MHING INSPECTOR
111 7/59-500