51226 (2).v .3
LOT NO. 411
NO 3!391
APPL M ION FOR PLUMBING PERMIT
'G" CITY OF CUPE;RTINO
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A i caq ,isihereby made
pi's aard/or fixtures listed o
ani{%or fixtures in accordance
W Cupertino, and all other law!
an tary i o.
196— Permit No .-11.ZZf-
Pee $2:9.50
to the City of Cupertino for a permit to install plumbing
i the reverse side hereof, and agrees to install said prices
with the provisions of the Plumbing Code of the City of
amnlicable thereto.
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a Use of Premyse;
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Approved GI •
1< PLUMBING INSPECTOR ✓
Water Heater
Waste
Dental Unit
MAIN
Size
WATER
Total