1449LOT NO.
NO. STREET
D R PLUMBING PERMIT
SCI F CUPERTINO
MAR 2 V 1962
Date fIAPG// /9 19i�a Permit No.
CITY OF CUPERTINO Fee $ I&Pm-
Application is hereby 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
t and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
B Use of Premises Anrz�
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/ Owner_CuO[ Rti vn PAeo�oTirt Ln r,
By U L v
CONTRACTOR, AGENT
3
J�Phone A-
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Address C Ti v
Address
Approve
PLUMBING [NSPECr A
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69911 1S.LINn1 11 Said I gjimn I