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51226-ll- LOT NO. NO. -BYRE. F.I' +576 p APPLICATION FOR PLUMBING PERMIT " z Z CITY OF CUPERTINO w 1� sanitary No. 196— Permit No S i 2-2 -6 i LL ((���,Qt-' • Pee 5 2 $ 50 O A p�ttstiorl-.is�hereby made to the City of Cupertino for a permit to install plumbing o and or Ertfres listed on the reverse side hereof, and agrees to install said prices a (an'd or fixtzrcs in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. Use of Premises`{G�^`.1 00 _ oa Owner �aG�-z/ Addre7S��//p, zG�-t'`'���»t Ltanr z J////�/ ,/ • �� AddrLS��'v -c / "FLLL�.I JC. 4- � C CONGpTRACT/qA, AGPNT 3F O_ /O, i�� - 0 Phone 7-2l-76) as State License 1-74- i�� Approved •✓ U PLUMBING INSPECTOR X MAIN Water Heater Waste Material To Curb Dental Water Total