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922 -2RI LOT NO.
qAPPLICAI kkgN' R PLUMBING PERMIT
/ SEP .� 0 '1960 HITY O CUPERTINO
Da C , 195_ Permit No.
Vi O Pee $ ':'>
Application is hereby made to the City 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—
Owner
remisesOwner_; ,�cra�O.tac� Address i�
By Joe Amaral PlnmhinR 1 _ Address
t CONTRACTOR, A T
Phone Approve yJ�
D PLUMBING INSPEcr /!
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Cupertino Sanitary
Ot6rc Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
E] Sewer Connection Sanitary Permit No. ...f Com. .............
©-"Plumbing Final Plumbing Permit No. .._.9t��
Lot No. ..y/��.........
Owner or Tenant ... ..---.— LCIP/1� 7
At �' ✓ ..
Tract .............
...
. ....../......
Date Connected ............ /% b .-- - ........_ --------
-- /
Date Final ...._--------------------------- ��.._.... ... .. . ..._ ..... 194/
/ KUNIRIiNG INSPECTOR
HI 1/60.500
moo— �
