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1163 0_1 O , I �O {/, `-'.:�� I J42, LOT NO. 13 C5 NO. STREET ' ® 1 FOR PLUMBING PERMIT . ' IM OF CUPERTINO JUL 18 1961 Date 195_ Permit No. CITY OF CUPERTINO Fees t S0 Application is hereby made to the City of Cupertino for a permit to install plumbing po pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices 6o 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 a B Owner _ 2�I Address c Q By t lwt�t ce , ' Address � CONTRACTOAJ AGENT � ^/ Phone' N e �' Appro II 'PLUMBI INSPECT —URES I NUMBER_k k MANN DRAIN UNITS FEES''IBF� ,.'�'� UNITSI FEES Water Hcater I ^:.��, Size �' Water Closets 'Bath Tubs1010,11 To Curbm I i Showers'. 1 �I To Prop'.�Line I l/I Lavatories La. I a II To Existing Kitchen Sinks f �_�� N t CVYIII161 Dish Washers Waste Disposals I —I P4I Wash Trays STORM DRAINAGE Washing Machines —'- �''..—I Size Water Softeners Material I Bar Sinks To Main Drain Comb. Sink s Trays To Curb Dental Units Drinking Fountains i II _ Floor Drains II WATER SYSTEM Hoppers I Size Restaurant Sinks II Material CA �y^f_ Sand Traps II TOTAL`FESS, Urinals 11 Fixture Fee - Area Drains II Maip3praih Fee Water Leaders II Stor1Drain Fee V ' Sprinkler Valves II Wafe2y`Sys. Fee I,;JU1 SEWER BOXES i I _ II PermifuFee Sano TOTAL -10 11 TOTUAIL FEE /' so RECOR OF ©N Partial Rough Rough Ctgmplete / Final 'v: "•' - Cupertino Sanitary '-',3 Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer ,Connection Sanitary Permit No. -- /-jam g3"PlumbingaFinal . ' Plumbing Permit No. ..1/.�J 3 p - Lot No. ----,d v _ Owner or Tenant ... -- AtWit%............. ....... .. ---- ------._.................. Tract Date Connected -------------------- -- „ .... -- = 196 . Date Final _.-.....---------- ----/ ................................... .. °`" 1I1 1/60-500 MIi1NG INSPEC'rOA �..