511394z�0 'S 70 I aa/ LOT NO.
No. SIMEEI'
�$1 1 FOR PLUMBING PERMIT
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Z4 OF CUPERTINO
r /JUL 2 9 1970 Sanitary No.
_
o � Date - 6— Permit No
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w, Pec $
= o AQI io 1G6JRERTjN0 } p P Plumbing
T.1 Alh t Cit of Cupertino for permit to install lumbin
a a pipes and/or fixtures listed on tic reverse side hereof, and agrees to install said prices
>I and/or fixtures in accordance with the provisions of the Plumbing Code of the Cit}' of
a w Cupertino, and all other laws applicable thereto.
Use of Premises %..�:�'faGd. �L. "�� r%%%/Di/'�
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Owner%%► a l7' �i�/1 hbr' Addr ssAt/O "' V tj RI Sc
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RACTOR, GE T
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– `m Phone
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o State License Approved
l - PLUMBING INSPECTOR V
Dish Washer
Softener
Floor Drain
To Curb
Permit Fee
Total Fee