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APPLICATI 'FOR PLUMBING PERMIT
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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
Z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
w Cupertino, and all other laws applicable thereto.
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PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
R Sewer Connection Sanitary Permit No.
[3-I'Plumbing Final Plumbing Permit No. ./I&K-17. ......
Lot No.
Owner or Tenant .......
At . .....
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Tract ------------ --- —
Date Connected ............................Z/' ...........................
---------------- ......
Date Final ...................................;Z=15TD
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INSPECTOR
Ill 7/61-500