51226 (2)Y LOT NO. V
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tf6 N FOR PLUMBING PERMIT
a ® ITY OF CUPERTINO
qN ' �� Sanitary No.
o a— Date ` Z "7d 196Permit No .'P f.?J4
3 CITY OF CUPER Fee $ P?tv
=LL
O pplication is hereby made to the City of Cupertino for a permit to install plumbing
'o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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State Liccnse /7kki� Approved
I)--. K PLUMBING INSPECTOR
Water Heater
Dish Washer
STORM
Water Softener
To Curb
Size
Total
S116/4