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APPLICATION,FOR,PLUMBING PERMIT
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3 a 'Date 19G Permit No
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Application is hereby made to the City of Cupertino for a permit to install pluflong
o'Q pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures iq accordance with the provisions of the Plumbing Code of the City of
i a N Cupertino, and all other aws applicable thereto. ;
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U i PLUMBING INSPECTOR
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTWO
❑ Sewer Connection • .•Sanitary Permit No.11a..(Q. .....
lambing Fin§P :'Plumbing Permit No. ._L....L.�..`�........
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Date Connected ...:..:....................................:..:.: . " f ............... ............... 1!;�— ...
DateFinal ............................... ' _... ... ..-........... 19. .'
PLUMBING SPE
III 7/63.1M