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2029 (2) " ✓ / LOT NO.- NO. O.NO. STREET f APPLICATION FOR PLUMBING PERMIT 1 APR OG 9 CITY OF CUPERTINO G //� Date-• y' .:��i -- ••'+°'�•1942� Permit No.60h Fee /5 ' On 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 v Owner S S �� Address y .c�IC� �r�— yotJCS _ Ad sIJOo 5 l J62 � + CONTRACTOR, AGENT Phone C L_ l O `-r O-p Appro� PLUMBING INSPECT00. -'! o v � >I ft E � d x � 0w ; a C7 pp C rr'• �'ao H p � O W b O 7 ... P� A N �• N N �� N n N N N ^ tT a � w 0 I R - 1Q 2 to x —f0�y C hn'1 O n• O M rt a 0 0 y^ N E p O O OP3tri v r O ra" .tifnvC7 ^ a ^ ca' ^ MIT g R r 5 n u; �o Bldg. DW. Office Copy BUILDING INSPE&6R,'-S OFFICE CIOF. CUPERT ,rO 2' Sewer Connection 4an4 Permit No. *.........B�---------------- 0 Plumbing Final Plumbing Permit No. 5�?�Cj...... . No I Owner or Tenant ........ . ......... ..... ..... ............ At ...........ts.1...... ... ................................................ Tract ................................. .. ..... .................................C..... Date Connected .................................. 1.................. 9 ........ ............ DateFinal ................................... ................................ .......... .............t.. 19.. ............................. ...... III 7/61-500 PLUMBING INSP 0