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CATIFOR PLUMBING PERMIT
Z 1%3' I Y.,U CUPERTINOo 67 6 W Sanitary No.
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0 U Date f r, U 11963 Permit No. / 9w�
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Application is ereby made to the City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures listed on the reverse side hereof, and'agrees to install said prices
a 1- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and allother s applicable thereto.
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Bldg. Dept.
Office COPY
BUILDING INSPECTOR'S OFFICE
CITY OF •WPERtINO
Permit No.
�] Sewer Connection Sanitary ..................................
lumbing Final Plumbing Permit No. .....�.9//... V��......
Lot No. ..........C V...........
_Owner or'Tenant ........... . ..... .......,. ...................:........
At :<:5t
U 11....
.. ......................a......................
Tract ................................................
. ............................... ...............................................
Date Connected .....T........................... ( �f 19.v......
.................:.............................
1 --7
.Date Final ....................:.:................:.... .....................
........... .............. 19..v....
INS R
t11 7/61-500 ..... -