2729 1()5,-2,0TR OF LOT'NO
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.
NO.
(� I�OR PLUMBING PERMIT
N 111
' w i I CUPPRTINO
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(MAY 7 1964 Sanitary No.
Y °
3 a Date 196_ Permit No a
LL CITY OF CUPERTINA Fee X0
° App ication 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
i a and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a W Cupertino nd all oth r laws applicirRe thereto.
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j LL Use of Premise
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50
3 Owner Address
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3
° By r r CONTRACTOR, ENT Address
0 Phone
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ED a State icense ���` �� Approved
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i PLUMBING INSPECTOR
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Indg, Dept
OiG;e
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
L] Sewer Connection Sanitary Permit No.
- Y. -----------
[Plumbing Final Plumbing Permit No. ............
Lot No- ----AI..................
Owner or Tenant .......... .....
.. . . .. .......................... .......:..............................
At --Al1APO &�!�----------------------
Tract ..........� �- ------
Date Connected ----------------------------
DateFinal ----------------------------------41-7,2----- ---------------------------------------------------
-------PLUMBING INSPECTOR
III 7/63-1M