1027 (2) I ` O M+A+ LOT NO. 7
NO. sr,
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FOR PLUMBING PERMIT
JAN 23 1361OF CUPERTINO
Date / 1961.E Permit No. I V 2
n� CITY G� Fee$ Ar -;1'
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
y 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
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Owner �G//e�� Address
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By ,- e—c.4- ' U Address le aft,"e vL/o
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CONTRACTOR, AGENT G
Phone (, — Approve
f.V3 PLUMBING INRPECTQ
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Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. —127&........
nu' Plum,bmg Fina.I Plumbing Permit No. - ...r.._/..
� -7...........
Lot No. ..... .... ..
Owner or Tenant -----
.. ... . .... . ..................
At
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Tract ................... .......... ----- ------ --------
Date Connected .............. ............d�o
.. . ................ - ---------- -- -------
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DateFinal .................. ........../ / . ------- -------------- ------ - 1961.
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-- -- ------ - ------ .......................
III t/(0-500 1,1137�INSPECTOR