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AP�RLI ATi,IQN FOR PLUMBING PERMIT
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o Sanitary No.
3U Date Permit No ^/ '�'�
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�$ f} }} rr((tt �� �}} of Cupertino for a permit to install plumbing
o pipes al r fixtht�s Ii�F�d oh•�h 4 vh e side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all n laws applicable thereto.
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
OVA❑ Sewer Connection Sanitary Permit No...Cx
P?'�—Plumbing Final Plumbing Permit No...IJ
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