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O=GXOOT NO.
NO. STREET '
f &MI FOR PLUMBING PERMIT
® G�"�""'�Q�r� OF CUPERTINO Q
Dat �d+1,9�3�. 14626 , 195_ Permit No.
CITY OF CUPERTINO Fee $
Appllcafion Whereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code,of the City of
Cupertino, and all other laws applicable thereto. �•
Use of Premises Residence
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Owner Deep Cliffe Dev. Co. Address
By W.L. Hickey Sons' Inc. Address
Re-0 93$SONTRgl, AGENT
i' Phone Apve pro
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4LUMBING INSPECT
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Bldg. Dept,
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.
................. ...
�nbing Final Plumbing Permit No. --/?.�17.............
No. .. . ...........
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Owner or Tenant ...... - ----
At ......
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Tract ..............
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Date Connected ` ' °^' ,
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Date Final ................... ............
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PLUMBING INS
7/61-500