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51167.3G `o'. n " o oU o b F S i S[reetgJ�!{ C= AI 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