2088 (2) Im". og-' z'� o)-' LOT NO.
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APPLICATION FOR PLUMBING PERMIT
" a CITY OP 'CIJP1iRTINO
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0 � Date 1961 Permit No
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O Application is hereby made to the City of Cupertino for it permit to install plunTbing
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pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all otl laws applicable thereto.
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3 G CONTRACTOR, AGENT
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w C' ��j— ���/��S WILLIAM D. BENEVICH
m State License Approved
PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY Or CUPERTINO
❑ Sewer Connection Sanitary Permit No.
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N�Plurnbing Final Plumbing Permit No. 7�20 C-C-/
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Lot No.
Owner or Tenant
At
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Tract .... .......
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Date Connected ........ ......... ...... .. ....
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Date Final -------------
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PLUMBING INSPECTOR
111 7/61-500