51123TRE.E.I40
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KION FOR PLUMBING PERMIT
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® i d�� e CITY OF CUPERTINO
r o ,'JAN 1819�� sanitary No.
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o a Uate L L� 19 22 Permit No
w oCITY OF CUPERTINO ree s J -L =z
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
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.
w = v~ ~ Use of Premises
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3 Owner I, r& �/a 4 y Add ?@a, 4 !'V
° ALWIN PLUMBING CO. pg-ee 11�/=
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CONTRACTOR;AGENT' - • e
3 a PI REDWOOD CITY, CALIF. 365-0714
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a o�State Licence Approved
U PLUMBING INSPECTOR
Comb.Sink & Tray To Curb
Dental Unit
Drinking Fountain
Sink
Water
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