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261 LOT NO. C� NO. STftEP.1' APPLICATION IFOR PLUMBING PERMIT w � �JUL 19 cITY, OF cuPPxTINo ' 0 l'- `J Sanitary No.-- o.3U0 :3 Date -�-.r - f 19(y Permit No ree $ 4 0 Application is hereby made to the City of Cupertino for a permit to install plumbing 0 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices i N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. w x n Use of Premises 00 o a Owner/�/6h/� S/ Z� 'W'05 Address Z B Yi r!�/0 �L�� Address d o 3 a ENT - 0 Phone -51 yG.�� _51� d- J wz 02 State License 0 �6� 1pprov�l- —U PLUMBING INSPECTOR -� � yti' dC y • o .A w .x2 " GGna e � �•GTrymg m G � � O r ^ w - N 'w0 .moi n 0 0C 7 7 >t' •un� N G � Vl N N C n n w O G N N N p $' 2 S n O � _w w N � G• 1 � � N y ` M H rt C ^� •'_*1, 4 Ln SrC HH T N z y H y V? O O n y 0 0 0 0 to m > "y Z z