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NO. "IA Ar IJUOR PLUMBING PERMIT
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01. CUPERTINO
R JUNp� 31966
x o Il S:mit-.iry No.
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3 a Date � 196,e- Permit No, S1/iv %
CITY 6F CUPERTINO Pees
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0 Application is hereby made 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
> 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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Use of Premises
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3 Owner Ditz—Crane Co. Address P. 0. Bos 509-3. J.
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J z By Palm Plumbing Co. Address 1234 N Hwy 9 -Sunnyvale
O CONTRACTOR,AGENT
3JL5-2323
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a o State License 186579 Approved
U PLUMBING INSPECTOR
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real
tater
fixture
Sprinkler Valves I 1 11 Water Sys. Fee I /.&.v
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
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