2711 LOT Nn.
F?-
�e�c CICATYIO�N FOR PLUMBING PERMIT
CI
a h TY OF CUPERTINO
w i APR 27 1964 t
x o Sanitary No. -
a
a D• f -g— 19652 Permit No C9
iu l:� f� : Pee $
o Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
aU)
Cupertino, and all other laws applicable thereto.
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Use of Premises �ZCei
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oa Own��/ Address-'5-/O S Y/l�/� l6, It
o y Address/;�r��-/SD n riy/i�
3 P CONTRACTOR,AGENT
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one9l> —3963 /O
0 o State License /�7 9y Approved
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O„ PLUMBING INSPECTOR
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ym / 00 I ® 000
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