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100007
M NO. STREET ' Ci4T1 R PLUMBING PERMIT C4 F CUPERTINO _ 32 7 z SanitaryN0. o Date ?E'OB�P14 958 1.9 _ Permit No 0 O O O ` 3 U Fees 770' ty x w ° Ap�jiF�tn ©�ier�INGity of Cupertino for a permit to install plumbing o a pipes and/or fixtures listed on he reverse side hereof, and agrees stall said ices r r and/or fixtures in accordance with the provisi ns of the Plumbi e of the Cit of < w Cupertino, laws applicable w x � r w Use of Premises 00 oa Owner Address zJ J o By Address aH � 30 � 1n0 rp. 7/LYt L L'/jt-" — Phon w z w w � 0 Iy0� State Li sr �r Approv PLUMBING INSPECLOA J LOT nklrr Valvcs RECORD OF INSPECTION 11 1