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APPLICATION FOR PLUMBING PERMIT
a``� `� �� CITY OF CUPERTINO
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o a Date i(IIb10R 1 F i9f7 L194_ Permit No, 3�
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Application is hereby ,mad�rto'thetCity of Cupertino for a permit to install plumbing
o a pipes 'and/or fixturesrhstedQon the reverse side hereof, and agrees to Install said prices
>I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino and all other laws i)>licable thereto
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RECORD OF INSPECTION