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1683 LOT NO. Z NO. STREET - - IfAU I SFOR PLUMBING PERMIT I OF CUPERTINOG 3 1©962 / Date J'^/ 196_z Permit No. - r, CITY. OF, CUPERTINO Fee $_ (5 (� 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 \O 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_ ! ` " Owneq ���'+� -d//D�p..pp�-r;-a.� Address/e "�'�` Address �f "6 CONTRACTOR, AGENT Phone C-'N23 %.177 Approve - PLUMBING INSPECTOR " i ' t FIXTURES NUMBER MAIN DRAIN I UNITS I FEES II IUNITSI FEES Water Heater / I ' I S1Ze N Water Closets .1, Material e-,r- Bath Tubs / To Curb ! I i Showers I l To,Prop. Li Lavatories 3 - To Existin �. Kitchen Sinks ,I / I • II N Conn. �/Q/c�/•z Dish Washers / I 'SEWER 13OXE4l O� Waste Disposals I / I' Wash Trays STORM DRAINAGE Washin� / I, Size -I-j Water Softeners Material _ .I Bar Sinks To Main Drain Comb. Sink a Trays l I To Curb - I_I ' Dental Units Drinking.Fountains II (- ,Floor Drains WATER SYSTEM ' Hoppers I I Size Restaurant Sinks - Material Sand Traps I TOTAL FEES Urinals I Fixture Fee I /:z" Area Drains Main Drain Fee Water Leaders I Storm Drain Fee Sprinkler-Vaives I I II Water Sys. Fee Permit Fee TOTAL 11 TOTAL FEE. . J2, RE O D O TION Partial Rough �5 3 Rough Comralete Final �1 Bldg. Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection Sanitary Permit No. ....'.,SK_¢_yG - EUoetlu Final',; >' � , _ Plumbing Permit No. �P .� s o of No. ...41� .._.:........ Owner or Tenant,-*.... .. .... -- r ff_Y• J At .... ..a����.�. ---t ---- - `-`............... .. Date Connected -- ...------- ---...-./v�:--.----........---...............--......... 19 - - Z Date Final ....' ------------- .:. ------'v2/: 19. 'Z PLUMBING. INSPECTOR 111 7/61-500