1283 (2) STREET
R PLUMBING PERMIT
G r CUPERTINO
OCT 2 1961
Date 195_ Permit No. 1 a rJ
CITY OF CUPERTINO Fee$ / 9 sa
a 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 Code of the City of
V Cupertino, and all other laws applicable thereto.
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Use of Premises
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A Owner—XOd4l- Address_—ffN��datc�tf.,
By o Y rOA, AGENT
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jU/l(�� CONTRACTOR, AGBNT
(d hone d— - Approved
PLUMBING INSPECTOR
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