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D APPL ON FOR PLUMBING PERMIT
1 APR 2 1964 1 ,FY -OP CUPERTINO
Sanitary No. /
FJ !Rj^ 196-T-" Permit No, CP 6 70
III UF LOIJI-LKIMUFee $ 4/. o O
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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all o er ws applicabet-*Vtp-
Use of
State Licens ',N ab
State Approve
PLUMBING INSPECTOR
Water
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