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1751 (2) 1) 1 � ��j w LOT NO NO. BE41 ® APPLTI0114FOR PLUM91NG PERMIT AUG 7" 1962 1sOF'CUPERTINO DateCST _ 't9t-2 Permit No. �f p ^d ." Fee $ 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,&de of the City of Cupertino, and all'other laws applicable thereto. u Use of Premises a' r Q� D D'' Owner A4. Address g ! BOG -' DATER £ .t@ _ Address Rsnv a ,U�CONTAACTOR',`AGENR T 1` Phone f' • +•' "'{ Approved ti PLUMBING INSPECTOR p H H ❑ > > vl �!qla! M ♦ �Ir ': i.�f lam. p -- --------------- _ -_---—_—N z _------- --_ -----— - — ---__ 0 " m. ,O', _O w, O CI K 8o c M 0 .7' m ' � w m, * Cn I � z S .,.�. - r, r z •9 IN