51167.221880 I RUCKER AVE. LOT NO,
NO, STREET
APPLICATION FOR PLUMBING PERMIT
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o < Da1e October 22 9 �} 1968 S//6 7, 2�
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Application is hereby made to the City of Cupertino for a permit to install plumbing
`o pipes and/or fixtures latedph�}lje Gse , e agrees to install said prices
im and/or fixtures in nccordan 'Tltc tVp"C on�dF the umbing Code of the City of
a Cupertino, and all other laws applicable thereto.
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.. Use of Premises Household
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3 Owner VIC MARQUEZ, JR. Address 21880 Rucker Ave. Cunertin
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j,By, Softmaster, Inc. P.O. Box 6 6 Cam bell Address 9 P , Ca
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3 F CONTRACTOR,AGENT
— Phone 379-5050
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p23+281
a o State License Approved
— U ,1 PLUMBING INSPECTOR
FEES
Boxes
U
rains
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .