1970 (2) LOT NO.
NO. STREET
�LI�TION=.FOR 'PLUMBING PERMIT
W i - -' '°n CITY;OC C.UPGRTINO
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Sanitary No.
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° Apicntion is,hereby road t the City of Cupertino for a permit to install plumbing
'o r pipes and/or. fixtures listed on the reverse side hereof, and agrees to install said rices
i m and/or fixtures in accordance with the previsions of the Plumbing Code of the City of
a w Cupertino, and.all other'laws applicable thereto.
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'Use ofPremises
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a o State License���g�I �� I Approved +�
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PLUMBING INSPECTOR '
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Bldg. Dept.
office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0 Sewer Connection Sanitary Permit No. .-�.4.z.........
04-Iiiumbing Final Plumbing Permit No. ..........
of No. _j........... .....
Owner or Tenant ..... rx.el.sa................. .............
. .............
At ........
Tract ........ ............
, 1-041
Date Connec
tv....0.......... .........e��------------------------------------------------------- 19-1;2
DateFinal .............................. .................. ..........................
........ ......................
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PT�UMBING INSPECTOR
111 7/61-500