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51129NO. JII ®� w YO MAR I LOT FOR PLUMBING PERMIT OP CUPERTINO Sanitary No. ¢ 4 CC o j Dat � 19� 966-- Permit NoFee 3a u � [p O ATLAS AeMt &ATIIQ City of Cupertino for a permit to install plumbing o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices > r and/or fixtures in ac nee with the provisi sof the Plumbing Code of the City of < w Cupertino, and all they ws applicable o. wx O 0 Use of Premises 0 3 Address�� 5 C2 Z -i<. Owne VI / z O 3� B CONTRA R, AGENT Addre;U �LI�C.�'�+ (�Jf —m w w w ¢ a Ph -o �� U I a o State Licen�T Approved - U if ' "'-- PLUMBING INSPECTOR Valvcs RECORD OF INSPECTION