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1123 I Wilkenson
NO. STREET
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7Qt%j0 POR PLUMBING PERMIT
® I F CUPF.RTINO
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241968 8
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Sanitary No.
Permit No -�—//6 7
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App'ji ffiiVn i0FcregjtURERTt`N0t), of Cupertino for a permit to install plumbing
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
Cupertino, and all other laws applicable thereto.
Use of Premises Residence
Owner W. B. Carman Address 11123 Wilkenson
Culligan Water Conditioning
By
of Los Gatos Address 611 University Ave.
CONTRACTOR, AGENT Los Uatos, a .
354-1845
State License 216217 Approved
4 ? I PLUMBING INSPECTOR
aste
Fell
ler Valves
I UNITS I FEES 11 IUNITSI FEES
RECORD OF
Boxes