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LOT NO.—
EE.T
CATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Whereby made
fixtures listed o
fixtures in accordance
no, and all other laws
Sanitary No.
19(70 Permit No. -77 i
Pee $
to the City of Cupertino for a permit to install plumbing
n the reverse side hereof, and agrees to install said prices
with the provisions of the Plumbing Code of the City of
applicable theret9.j
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CONTRACTOR, GENT
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U �� �. PLUMBING INSPECTOR
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FIXTURES
Waste
Comb.Sink & Tray I I II To Curb I I
Dental Unit
WATER
Water Sys. Fee