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LOT NO.
NO. LIGATION 4 'R PLUMBING PERMIT
^f tCIT tOPERTINO
w -i 40
r o Sanitary No. '
W n
o a Date y 1963 ' Permit No. '2
W LL. Pee $ ;2 .y
Q Application is hereby made to the City of Cupetino for a permit to install plumbing
O a' pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
s and/br' fixtures in accordance with the provisions of the Plumbing Code of the City of .
a U) Cupertino, and all other laws applicable thereto. '
g+a. Use, of Premisesy :4
00 /lam/l � �� •• let
3a Owner R'\,y. ,ildtess
r% ^^
y CONTRACTOR AG6fliT
— 0 Phone 61N 7— U W7 J �
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° 'State License
WILLIAM
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^- PLUMBING INSPECTOR
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