2705LOT NO.
W a No. l�N�L1 °19 Y o.R PLUMBING PERMIT
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/�' 1T11.q Sanitary No.
f yUM4 Permit No
Fee $
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
By
CONTRA�oc—f1/7NTRA
C70A, v T-
Phone X796 39L -z3
State License %S2
Address .F-, —
Address -&—K'27,"520
ter Heatcr
Sler Valves