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TION FOR PLUMBING PERMIT
,--- A� CITY OF CUPERTINO
Sanitary No._
UateeA �4
Permit Nocw Li.
1966 V Fee $�,
Ap(�Ist�tjyn i hereby made to t le dy of Cupertino for a permit to install Plumbing
pipes c/ I on the 'reverse side hereof, and agrees to install said prices
and/or fixtures m ahtfrR /�{�y•�t)�It e Provisions of the Plumbing Code of the City of
Cupertino, and a rthcr ae'5 veto.
d
Use of Pwznises
a �State
u
Approvea� .-P
PLUMBING INSPECTOR I e
I UNITS 1 FEES II 1UNITSI FEES I
Boxes
ns
Fee
klrr Val,cs
RECORD OF INSPECTION
Underground Rough
Partial Rough -
Rough. Complete
'Iain Drain
Final