948 (2) �4 _ -- LOT NO.
STREB-,
e APPLICATION FOR PLUMBING PERMI
CITY'OF CUPERTINO tt 7 l
Date , 195_ Permit No.
r 6 �•
� Fee $
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 Cit4of
Cupertino, and all
pe otherlaws applicable thereto.
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gyrs '' Address
CONTRACTOR, AGENT +
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' � �y.F •hriice CaPY
BUILDING INSPECTOR'S OFFICE:'
' CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No- ---- . �17p-..........
Plumbing Final Plumbing Permit No. .--9,Z..A
................
LotNo. ......._.-----------------
. Owner orTenant .../. f.e....r..e�.�e......4..... / //wr.`" '-'♦ -----------.____--"--
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Date Connected -----------------------------/,)/3
Date-Final,.-'------ .._ti;-----------....... ��J�
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111 1/60-500 MUING INSPECTOR