51187.1No. Street
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APPLICATION FOR PLUMBING PERMIT
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O CITY OF CUPERTINO
Sanitary No.
,196
Lot No.
Permit No.r//?% /
Fee S M
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.
Owner
By 6 q
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Phone r-4 -
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State License
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CJTY OF CUPERTINO
1030 Torre Ave.
CORRECTION NOTICE
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Department
Job Located at ..I
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You are hereby notified that no more work shall be
done until the above violations are corrected. When
corrections have been made call the inspector.
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252.4505 D --- `��-- -3.;. -- V ...... - ---
City Telephone Inspector: .