794LOT NO.
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' STRR E
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'A PL CIY i OWN R PLUMBING PERMIT
UN 1,3 1960 Cl TY� F CUPERTINO
Date - IUPERTIN09& _ 7
� Permit No. 9 G
Fee $ �7
Application is hereby made to the City 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.
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PLUMBING INSPECTOR
RECORD OF INSPECTION I