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2401 (2) �S61iu i V Q</ ✓e , LOT NO. �QJ� r/ LICAT, ONJIFOR P4UMBING PERMIT W 2 m d 5 '� t5JCITY-OP CUPERTINO ' 0 Sanitary No 0 ° a Dater ' �19�r3 Permit No 3 Pee $ �� = o Application is hereby made to the City of Cupertino for a permit to install plumbing o a pipes and fixtures listed on the reverse side hereof, and agrees to install said prices ' r H and in fixtures in accordance with the provisions of the'Plumbing Code of the City of V) Cupertino, and all other laws applicable thereto. WI / J LL Use of Premises _ 00 Owner V; 'Vef" 6z Address 0 3 o a 120- J z gy a L a �lG f r Address / ° P Cq RACTORR A n 3 — 0 Phone.�XT u f State LicensAPP rovedC 0 "'��Cfn✓ �,, f PLUMBING,INSPECTOR,.• . � 4wg3 � w { §% cz ® = = comm / § gf2rr � E ,« { \\ ) & ( \} . � � 2 » @ , q / f � � mq 22 / z = 000 c , . r . � / & E r) •Bldg. Dept Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Z \ `I � Sewer Connection Sanitary PermitNo. .G......._r..../.............. �umbing Final Plumbing Permit No. .>��.. ���......... 1 . Owner or Tenant . '�•(�\( SS+-(� h f ............. •� ....t `.. T Tract .................................................. :J (` Date Connected ...................................... .... . T '...L� �.. ..:....:.:.......:......._-^ 1 �...... . . Date Final ................................................. r......... ........ .......- 19............ PLUMBING SP CTORQ: -Ilt 7/63-1M