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r ©I�,O • � C 4NO. STREET .. )I � ,tpLT FOR PLUMBING PERMIT ® G�'C� 1, OF CUPERTINO J Dat�,i JUN 26166 , 195_ Permit No. T CIjY . OF here Fee $ .,� App kation Is here y 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 :.a z Own(r, 1�L EY � 1�� Address MO -44812r( 4 By lit ' ! L—�' — c�Ml�' Address I CONTRACTOR, AGENT Phone C L II p�p�-,-� Approved ' S� ,PLUMBING INSPEC O I I ! I i I I I I n o R d, �yy C 2 H C h N H _. Oro ', T' w u �O. n r � ❑ H o w l � S w '^ '^� N • m c 7 o O M nN zo b x Z ul N ----- C 9 Bldg. Dept. 1 Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO G17'` I ❑. Sewer Connection - �: .Sanitary Permit No. --- .._ ... . ...-.-...- 0;/ISlwWng Final Plumbing Permit No. -.- J�..r/-`1`'.`• h Lot No. -..;Q..tQ�._. Owner dor.Tenant -..-.. y - .._..-. At .- ------------------------- Date Connected -_......................'.-..::-..0.1.i.- -- -- 19.�0.��.--.. DateFinal --------------------- ----'-• -�.- -....------..-------------...--------------------- 19:-0 - . ------ ..... .. . -------------- -- PLUMBING INSPECTOR 111 7/61-500