2073 (2) LOT NO. C'
O. C STREET
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APPLICATION FOR PLUMBING PERMIT
W a h�1Y 7 rpr. CITY. OF CUPERTINO
x o Sanitary No.
O < DaPe"'I/ ^'- R+ t'-/7 196 Permit No O 73
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a w Application is hereby made to the City of Cupertino for a permit to install plumbing
0 pipes and/or fixtures listed ml the reverse side hereof, and agrees to install said prices
'z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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FCONTRACTOR, AGENT
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a 0 tate License / (l 7e Approved
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PLUMBING INSPECTOR
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Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. —.1.W.?
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Plumbing Final Plumbing Permit No.4::;?*_7_9-------
Lot No. -------- --
Owner or Tenant -------------- - --- ---
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Tract --------------
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Date Connected..........................
--------------- ................ 19..
Date Final ----------------------I --- ------- ------ 19_4�
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PLUMBING INSPECTOR
111 7/61-500