2072 (2) LOT NO. 70-
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APPLICA O FOR PLUMBING PERMIT
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x o Sanitary No.
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3 U Date / 7 ' , 196.3 Permit No.
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O Application is hereby made to the City of Cupertino for,4permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
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and fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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0 o Use of Premises
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3 F y CONTRACTOR,AGENT Address
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ao tate License 142 Approved�
PLUMBING�I2SSPE CTOR
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Bldg. Dept,
Office Copy
BuILDItj1:1SPECTOR'S OFFICE
OF CUPERTINO
Sewer Connection Sanitary Permit No. ------
lumbing Final Plumbing Permit No. ......
Lot No. —140-
Owner or Tenant .... dr ... ...............
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At
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Tract ----- ------------
DateConnected --:...... --------------------- ------------------------------------------------ 19---44;3
Date Final ....s------------------------------- 19-d.3
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PLUMBING &�CTOR
111 7/61-500