1528 (2) r h l No.-
117C4_STREET\JEk L6 LIC-Q-11, U-1LOT NO./Z
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MBING PERMIT
CITY UPERTINO
APr2M1962 JDate195_ Permit No._(
CITY OF CUPERTINO Fee s a7 so
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.
8 Use of PremisesuiJ,CLr�/irn�,i�
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Owner —2 ' _ y p ,'.,Address
.• _ Address-Roo
CONTRACTOR AG T —
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Pho56 s• Approved
PLUMBING INSPECTOR i
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Bldg. Dept.
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Office Copy
-; BUILDING INSPECTOR'S OFFICE'
CITY OF CUPERTINO
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Sewer Connection C�dJ d�7;' - � Sanitary Permit No. ._--.:.-....._-.. . .-.-.----
I mbing Final Plu ing Permit No. ... 0�.��-.�.
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Owner or Tenant -- ......
- ......
At -------- -
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Tract -------------------------- _ '
Date Connected ....- ... - '...._..:.. ......
Date Final .................. __ __ D _ _ -
............: .. ...
19.
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PLUMBING
III 7/61-5d0 6 'O