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� APPL'ICATIOt1 FOR PLUMBING PERMIT
~1�CITY OF CUPERTINO
Sanitary No. -S 36
Date 1967 , -19 Permit No J // C. 7, /
_ Fee $
Application is lierebytmadefo theMity of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
/ s
Owner
C NTRACIOR, AGE
Phone
State License� s �!
Address
/.735�yj.
Address
Approved
D.
PLUMBING INSPECTOR
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RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Plain Drain
Final...
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APPLICATION FOR BUILDING PERMI
CITY OF CUPERTINO
Sanitary No.
,_
Building
to a `�ctlpied onl as i�.P in accordance with
Plan 6petiltcati0�t�{i �tIIV,3 filed herewith. PI Ck Fee
Estimated Value of Improvements, $ �.%/l/�� GO Fee $ A,'ze)
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cu ertino will be li d with
p comp ie I
Owner
By
Phone
State License ZI 7YI
RITZ -CRANE
Address _ LA CRUT DI'M
A 5 NTA, CLARA. CAM#. 950F^
Approv
BUILDING INSPECTOR
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