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UN 18 156 Sanitary No.
Date 196 Permit No %
eitiofis
r� �p�Rn � n�fi r ' 1'No [ Pee $ r y e to he City of Cupertino for 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 ether laws applicable tVreto.
Use of
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PLUMBING INSPPCTOA
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Final...
RECORD OF INSPECTION