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AP�LICA IEf1N �jOR PLUMBING PERMIT
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3 V Date I �� ____ „ 963 Permit No�
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Fee $ . UQ
o 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 a and/or fixtures in accordance with the pprovisions of the Plumbing Code of the City of
a w Cupertino, and all o laws applicable ereto.
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U PLUMBING INSPECTOR'
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