51226 (2)x4wa cvTi Ne'e' LOT NO. •rte
NO. SjtREE7'
APPLICATION FOR PLUMBING PERMIT
z a CITY OF CUPERTINO
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x o Sanitary No.
a 196_ Permit No. Irlo-94
LL J NI G Pee $ 'M
° Application is hereb - ma�j�_I dhe City of Cupertino for a Permit to install plumbing
o PRY d/ 11xQi�L{Fi 111i ��VQ�ih reverse side hereof, and agrees to install said prices
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> a d b fix es 1 «or ance with the provisions of the Plumbing Code of the City of
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Cupertino, and all other laws applicable thereto.
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�. Use of Premises
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Add
Add
�/ `/ PLUMBING INSPECTOR
Wash
Floor Drain
MAIN
Size
To Curb
[ Fee
Fee
316