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1480 (2)
C:�OO/ "l �. I � �i/ ,A O: LOT NO. .V NO, STREET t AR, CA�1� FOR PLUMBING PERMIT D /,,,'—C.�to�,[�� CUPERTINO �+ Date 82 j L Permit No. -A o n �[ �C }�' �, 0 0 E l S 9 Oe rtn Q( ` hfC� Fee $_ Appli•S i n is eby fn>�8e f t e ity 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 Premise H Owne Addres 7r�► � �. By ' Address O CTOR,A NT Phone Approve PLUMBING INSPECTOR .J! (, CIL,/ 11-1-1 I I -1- 1i.1-i_._1.. .I +:I I-_1-...I_ © $- rm & � r �—�7------7-7--�-- ----- - -------- --------- --- - — --� ----\ / o . _ __-- ---- \�. & ; / ) w * ` B ® \ � o ■ � a n ` ` / . ■ off ` ` '� [ / � : } \