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1792 (2) '_ LOT NO. !S5 Bt6E �SP�tIIO R R. PLUMBING PERMIT CITY OF CUPERTINO Date CJTY;� C,CRTIPermit No. ( t Fee $ � C 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 other laws applicable thereto. Use of Premises Crooner Address By lU-� 7/��i/aTu> �c c Address t c e.k• - s_c� C CONTRACTOR, AG Phone_ �'6 /Y�7/,jcJ?CJX' Approv 1 PLUMBING INS CT R , [ ■ w « OW j =- r ] ' ; - = a « r $ E , & . & ! ■ • ; / ; , e @ B _ < � ® � ; - - � fir§ / } [ ` � � § � E • ® ' / � | � % § n m � L------k— -- ------ %ar. — -- -- IV o \ ) / q / ------------/�����o /\� / m 2 ° Cjgn ----------------� ` � , r � • / ■ § @ , \\ / § � $ � / 2 ■ ƒ ° ) � 2nl � J�� m % � ) / , � ---- n— — — \ ! | « kMo Bldg.,Dept. office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO fY �j [] Sewer Conn ion Sanitary Permit No. ... Q-// / --------- �lumbing Final Plumbing Permit No. 1./7 .7 Owner or Tenant .IY� ---- -- At . o2;?. _ � Tact --------. . . ------ - --..._.--`...-----.._---------..---- ry Date Connected ........ --------------------- ---------- _ Date Final ------ ------------- _.......... .. " ... ..------------------- - .... 3 �`.....----- ... -- - - - PLUMBING INSPECTOR 111 7/61-500 -