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LOT NO. /?
NO. Sn EET
APPLICATION FOR PLUMBING PERMIT
J �G , OF CUPERTINO
1� Sanitary No.
Dare uat 11 1 If 06_ Permit No. SS // 77 /
Fee $ 6
Application is hereb ���(� ity of Cupertino fora permit to install plumbing
pipes fItres�lidtlhcrse side hereof, and agrees to install said rices
and c I t re actor ante with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises Single Dwelling
OwnerDitz Crane Co.
By L. C. Bohart Plumbing
CONTRACTOR, AGENT
Phone 245-2323
latate License 186579
5 De La Cruz Blvd., S. C.
k�&As Fremont Avenue, SIvale
F-2)
Approved
PLUMBING INSPECTOR
Water Closet
Dish Washer
STORM
Water Softener
To Curb
Drain
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