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1371 STREET k .. r ApPLICATICN`FOR PLUMBING PERMIT TY OF, CUPERTINO { Date 2C) Permit No. Fee H Application is hereby made to the.City o'f.•Cupet'tino for a permit to install,plumbin - (� pipes and/or fixtures listed on the reverse side hereof, and agrees to install said .pr -S 1 (� and/or fixtures in accordance with the provisions nii.hb Plumbing Code of'the City,of Cupertino, and all other laws applicable there,o. t Use of Premise r OwnerA`leeel- � u.Address � �,'$y Address�ir-:'� u/as�A CONTRACTOR}AGENT fps. , li1 tR "5•I _ > - ��, 4 ES0 S. I } o , 2@ / tea ■ � : - } , e . . * � rop _. , E ® ; ` , } , }\/ ! a " ( ` \ � % § \ E � � • � � \\ ) ---------\_\_—\_�_\ wQ-- --- o & ---z------_--__ ___-- i k \ \ y2q © ( 2 • ¥ @ \ , \ . y@ ƒ rte ) / rfy / ( ~ � tqn ® \\ $ ( k 2 � ; > ( y� c : s 7 § ; m % « � ` Bldg. Dept. 1 Office Copy -BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO [] Sewer Connection Sanitary Permit No. ..... Q.--.n?....... Plumbing Permit No. .... L7 C�L7bin� Final, , g ... ../............. ntn. . 1............... . .Owner or Tenant..... ................ ......... roc !.. . ... ........................... ...:.::.:..:... At .. ..... ....'J/iJ Tractti.....-.... ............. ....... ............... ........ .............. .. ... ..... ........................... ...:... DateConnected'.. .............................r. ................................................ 19---rtZ Date Final gip' ' ....:. .................. . ,. :;kms t PL BINGINSPECTOR` ' ttt 7/61-500 _ _ •aliw� .w.--.did,.