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f N OV 7 1968
FOR PLUMBING PERMIT
OF CUPERTINO
Lot No. �
Sanitary No.
Date October 129, !)TIV,1968 Permit No. S//'�'7
Fee s�2
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.
Dwelling
Use of Premises
Owner Ditz Crane Go,
By Palm Plumbing Com,
Contractor, Agent
245-2323
Stale License 186579
[ddi�ssDe La Cruz Boulevard
12111. Sunnyvale -Saratoga Rd,
d ress
App ove,WILLIAM U. UENEVICH
�iX Plumbing Inspector
Water Heater
Comb.Sink &
Dental Unit
WATER
Permit Fee
Total
Fee