51167.3No. Street Lot No. 13z
APPLIC ON FOR PLUMBING PERMIT
Y 1! CITY OF CUPERTINO
,DEC 16 1968 L- Sanitary No. LO�7
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Permit No. .5 %/w 7, 3
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'_ ' •, i Fee 5-2,/.`—SL
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
law, annlicahle therein
Phone a7'...!" 3'J.�o"1 '--F1
(Lr State License /��.�zz /V Approved - Plumbing
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Plumbing Inspector
BER
Washing Machine / �� Size
Watcr Softener Material
To Curb
Fountain ��
iin WATER