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7 - I C/(/ �- LOT NO. a el
NO. STREETFLAW /612
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPFRTINO
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Sanitary No.Da 196 70 Permit No. 16 1970 Pee$_ g23.s�1
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
an�>Yjxtin(�}d R��the provisions of the Plumbing Code of the City of
Cu t nbb an al o to aws app icable thereto.
Use of Premises Single Dwelling_
Owner Ditz Crane Company 229A5dDesLa Cruz Boulevard - S. C.
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By Bohart Plumbing Company 16AJWP Fremont Ave., Stvale
CONTRACTOR,AGENT
Phone 245-2323
State License 186579 6-11_70
Approved qW-C—
PLUMBING INSPECTOR
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2 i 667 W��arm� G,�- ✓JQy N°._,/— /
No. STREET
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OF CUPF.RTINO
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i� Sanitary No.
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i o U:u 196W Permit No.
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4w �ica is#tere d permit to
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a to a r story, Type S Building
? to be occupied only as in accordance with
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0 o Plans, Specifications and Plot -PI filed herewith. PI Ck Fee
> "; Estimated Value of Improvements, $ 22. C*Ot7 D -[r Fee
o J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
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a ° Phone Z 5� — 2 (v 5 3 Approved '
i� State License 5 % BUILDING INSPRCTOR �