2697 (2) Bldg. Dept
Office Copy
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
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❑ Sewer Connection Sanitary Permit No. .... x...........
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Plumbing Final Plumbing Permit -------------
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Owner
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Owner or Tenant ..........-- �.. a{—---..`.r_ f.'. r`✓-----^-'r............. ...------...............
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Tract ------ ........... ..�":......----------- ?---- .............
Date Connected -------------------- `1---- .....-------------- ....__........--
Date Final ` --! r �'' 19-- - ..
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PLUMBING INS P R
t11 7/G3-1M