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PLUMBING PERMIT
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E 0AR 6 1964 Sanitary No.
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-' Date - --/ 19 — Permit No �_
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CITY OF CUPETI 0
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Application is hereby made to the City of Cupertino for a permit to install plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
¢ W Cupertino, and all other laws app table thereto.
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3 J O /C'ONTRACTOR, AGENT —T-
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a oState License -� Approved O�h
U !� PLUMBING INSPECTOR
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