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3933 Bldg. Dept
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-Z C�
�S Connection Sanitary Permit No. i.............. ......
Sew
Plumbmg Final PI bing Permit Nlo4 -(Q.9... ......
I Lot N .. ...............
Owner or Tenant ........ ---- -----
--.N' ----- --------- ---- ----------------------
At --------- -----'Y
-------------- .... .. ............................
Tract --------- --------------------------------- --------- - - ---------
DateConnected -----------------------------------------6 ........I.................. -................ ......
DateFinal .------------------------------------------------ ------- .......
----
--- ... ... . ... . .....
.. .... .... .. .. ---
PLUMBINe, I sp R
111 7/63-1M