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51189 - Pool #7\ V \O�©p� i'— LOT NO. or 0VM•P^ STREET' �— CITY OF CUPERTINO Z .JUN 18 1971APPLICATION FOR PLUMBING PERMIT Sanitary No. pji .. Uat A 1 I971A Permit No..X//7��0 ��YY Pee $�L 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. Use of Premises Sk t)1l-AM CCA c Owner11�i1`L�.:N, 6 Asa �1 CONTRACTOR, AGENTC Phone State License Address �Tq ( .a znT \ , Address'L t in�- WILLIP— ^ "'�IJICH PLUMBING INSPECTOR �/ Units Water Heater I i 1 II Size I I Wash Comb.Sink & Tray�� To Curb Dental Unit Restaurant Sink I 1 II Material I I