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CtrY OF CUFERT NO APPLICATION FOR PLUMBING PERMIT
DEC 22 1971 CITY OF CUPERTINO
Date P/,2" �— ,19 1—
Sanitary No.
Permit No.SP 0
Fee A. --6
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
Owner
By
Phone " r'.&/
StateLicenseedAl
Address 5794;; A
AddrestANOIF PLUMBING CO.. INC
2980 Winchester Boulevard
Cam ell Cali%ornia 95008
X
Approved
Plumbing Inspector
MAIN
Dish Washer
Machine
Comb.Sink
Dental Unit