51132l 1.7/ Ak4a," li% LOT NO. / O
No. STALFT
TFOR PLUMBING PERMIT
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OpWCUPERTINO
rO 3 �Q Sanitary No.
R LL Y s' ��� 12-Y
o -' Date 196_ Permit No
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i tm is here y ma e to the City, of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
>i- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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r 3 Owner✓• '� /.J/R/ s��.�f%'E//71L/� Address 157%3/ / 6116ilR/
oRAff SOFT WATER SERVICE Address
3571 THUMAS hVitu
3 a SANTA CIARA, CALIFORNIA
— m Phone.
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w w State Licens2;p
Approved
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FEES
Water Heater
rinkler Vaives
RECORD OF INSPECTION
Underground Rough...
.Partial Rough_
.Rough. Complete..
\4ain Drain