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FOR PLUMBING PERMIT
UN 3 1966 OPCUPIiRTINO\ i n.
Date 1966- Permit No Spee 1
CITY Or CUPERTINO Pees
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
Cupertino, and all other laws applicable thereto.
Use of Premises DWe11iX19
Owner. CO. Address P 0- Bax 509—Ran Jose
By, Pala Plumbing Co.
1. CONTRACTOR, AGENT
Pho445-2323
State License 186579
Address 1234 N Hwy 9—Sunnyvale
Approved /
PLUMBING INSPECTOR v
Jprmklcr Valvcs I I II Water Sys. Fee I /, yp
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Alain Drain
Final