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LOT NO
�+*, APPL`1G^ I FOR PLUMBING PERMIT '
04 AUG 121960 OF CUPERTINO
Date AUGs � ® 195_ Permit No
CITY-Gr'� CUPERTINO Fee$/,O;Z"-
' 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
y , and/or fixtures in accordance with the provisions of the Plumbing.Code of the City of
Cupertino, and all other laws applicable thereto.
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Phone iA1tFA CLARA, CeiacnoNla; _ APProv[
PLUMBING INSPECTOR
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Cupertino Sanitary
Office'Copy
BUILDING INSPECTOR'S OFFICE `
CITY OF CUPERTINO IJ/
❑ Sewer Connection Sanitary Permit No. ...l..V�.��jj//0.........
g4iPlumbing Final Plumbing Permit No. ---4? /,a...........
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DateConnected ...... ...................�_y.L ..../. ................ ...........--------=r. ....--------._ 19.-- ------
Date Final
------------------------- -- --- --------------- ........................
111 1/60-500 PLUMBING INSPECI'OR