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APPLICATION FOR PLUMBING PERMIT
DEC 16 1958 �? f 'CITY OF CUPERTINO L
Sanitary No. ('/;6�%�J� 804
Date �- �' I ^, 19ot� Permit No. .5-)11,7.3
Fee S 1' 3..f O
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.l
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State License /A;,r7Y /
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