2060j03 a ..P• I •T. g s.- C T LOT NO. .
NO: STR ETP
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
pDate �6. 195 - Permit No.
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Fee $_
Application i3 -hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fix',tures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures yin accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
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