HomeMy WebLinkAboutNO PERMIT NUMBER (2)as 1�/``CIE�«/v �o
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NO. STREEI'
N ® �?PR�LI� 1OFOR PLUMBING PERMIT
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s ¢ UY 2 1966 Sanitary An.
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o J Date 1962 Permit No
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T nF 011 �{� I�(� �2
LL PpTY 7f5 2'f�S�rlfyd�hllAt FeeSo2/
� ° p �caho s h y City of Cupertino for permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> I 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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Use of Premises
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By %��in//.�uuk_ /,0//a G /� /7i — Address / - AU
CONTRACTOR, AGENT 5i I'lr0
Phone (3 7 --`21.111 rJ
State License /�> LL
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PLUMBING INSPECTOR f/
Boxes
nes
Fee
Sprinkler Valves I 1 II Water Sys. Fee I /
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .