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2615 X�1 �r� ' LOT'NO, �"'' Com_ ® C 0 Z FOR PLUMBING PERMIT Z. `- 1 OF CUPERTINO w p �i4AR 1964 x o Sanitary No. aLL / / 3 U Dat ( — tr196 Permit No w a :..v Pee $ ,y7 O Application is hereby made to the City of Cupertino for a permit to install 0 a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices i a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of w Cupertino, and all other laws ap)licable thereto. ~ F Use of PremisesyAP����/ 00 > 0 o a Owner 1Add,,,,25,419 z J Address 4P 3 < CO TRACTOR,AGENT ` Phone w z z r ww rc a a o 2State License Approved 1 U PLUMBINGIN$PCCTOR� z Eaa « @yez ` » e , } E &\ & » & E ± » % z { » » ! I - f/ \ \ 3 § } ( . % • a j . .Jo A 2 66 ® " ® / wx ` ® ® 00 zZ000 ) ) ( 2 ; © ! 2 r) ra { \ / / 2 } ~ o , ^ neo ~ eK = w 12 0 = w ® g2ttP. I0 ) � c « \_ ~a . 222 ® $ \ - � � � k �