2333 20� �e TR RT Drive SGT No. 20
TR RT L TION FOR PLUMBING PERMIT
irf AUG 9 1963 CITY OF CUPERTINO f ^�
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3 T 1 atbU,_ 16 T—, 1963-
9Permit NO. c:2=L.%3v p2
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Fee $ ,alp
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.
Use of Premises Realtipme
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WOwner�lossom Valley Homes Address 20063 Merritt Drive
By amara] Plumbing _ Address m &
CONTRACTOR, AGENT
O Phonea%6-3963 Approved
`// PLUMBING INSPECTOR
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bldg. shpt
Office COPY
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
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F1 Sewer Connection Sanitary Permit No. .. ..`"
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bing Final Plumbing Permit No
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Tract .................................. ... _:.�A-*^j.!, t
Date Connected .......................................
DateFinal ...............................................�....-A. .. ... 19-•li
III 7/63-IM PLUMBING INSP !!) ��