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2123 �a NO. LOT NO. ZR, i �1 PLUMBING PERMIT W w ¢z RITYJUPERTINO D x0 if MAY. 29 963 Sanitary No. _ 0 <DDate- 3: , 196— Permit No. tt0 U CITY OF CUPERTINO Fee $ J Application 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 N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of ¢ w Cupertino, and all other laws applicable thereto. a Use of Premises 00 � o a Owner/4G2 'T - Address - i 2 o B 6 '� __ Address 3 < CONTRA AGENT — 0 hone �L �BZo aState License4 7 -Approved L29we��— PLUMBING INSPECTOR cx. "9 a w 9 � o e O 0 0 $ � lkt