1829 LOT NO.
N°® ISI aT .1 Q� L MBING PERMIT
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3 a Date g� p q n1'96_ Permit No
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° Application is hereby made to the City of Cupertino for a permit to nstall plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to Install said prices
f > H and/or fixtures in accordance with the pprovisions of the Plumbing Code of the City of
! a in Cupertino, and all other laws applicable tHereto_4.
o_ o Use of Premises ll4FC -�L✓R `G�/YS' i
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oa Owner vI 0 Address ;-073T S"191SP`6-
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Phone ? .1.136
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Bldg, Dept
Office copy
BUILDIN SPECTOR'S OFFICE
C� (if�CARTINO {�J
Sewer Connection Sanitary Irmit Noc:�,. (;. C.
dumbing final Plumbing Permit No. .../.��e—
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Lot No. ....................
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Owner or Tenant . ' • Po•1.yI
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At ........_.......t>.
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Tract ....:
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Date Connected ...............................�_�.:'..! .6.,—
Date Final _
'i77
111 7/63-1M ` �" PLUMBING 1NSPB