627 L/�� �.I/Y/AJ <C.. Q/�• LOT NO.
NO. STREET
PP<11.0 TION . R PLUMBING PERMIT(166a-)
CI
JAN 201960 T F CUPERTINO ``
Date 1.95_ Permit No.
CITY CP CCPERTINO Fee $ is 02
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.
u Use of Premises ��•_A
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Owner Address
By Address
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Phone Approvedivii I Inns n afrNekGH
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PLUMBING INSPECTOR
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Cupert inr
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F-1 Sewer Connection Sanitary Permit No. ........
[Q,-Plumbing Final Plumbing Permit No. ......6,� ........
Lot No. ........�-�k..........
Owner or Tenant ----Anl -,f X,-� A.7 't
....................... . ...
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At .......
Tract .............
DateConnected -----------S1, ... ......... ...........................................
I Date Final ...
111 7/59-500 &xe—MBING INSPECTOR