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Ct.
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�A';� tl%,ATION FOR PLUMBING PERMIT
�5"'� t.ITY OF CUPERTINO
TfIiii ) () 1970 L
, 196
Sanitary No.
Permit No S\`Q�
4 IDN' i} Pee 5 4.00
�Af��i�at CU �s y 13ck o re City of Cupertino for 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
Cupertino, and all other laws applicable thereto.
Use of Premises Residence
Owner D. O'Keefe Address 20203 Camarda Ct.
By SOFTILTYR Inr
CONTRACTOR, AGENT
Phone 379-5050
State
Address 1150 Dell Ave.
Campbell, Ca.
Approved
PLUMBING INSPECTOR
UNITS I FEES
VJIVCS
xture
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
� r,