1429 10.? )0 LOT NO.
NO. 'STREET ,
APPLICATION FOR PLUMBING PERMIT
1N CITY OF CUPERTINO
liff:U.n 6 Asa Lto
Date 195_ Permit No.
a CITY OF CUPERTINO Fee$_ ZQ.
Application is hereby made to the City of Cupertino for a permit to install plumbing
�o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
M and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
e1 Cupertino, and all other laws applicable thereto.
0
'a8 Use of Premises zgd� rR.
� o
EX Owner&449Atsu�
k By " Address4tCON-
khonrtApprov2 _ o�gf�r
6111 PLUMBING INSPECTOR
UM IN)L).R-AIN
UNiTS i FRES II JU&ITS1 FEES
'ze
a!&?CT0SCt5
Marenld
,Bath To
�Showc o Prop. Un
Lavatories To Existing
Dish-Washers 1-11
Wa'sC6,Diiposals
ash Trays STORM DRAINAGE
Size
Washing Machines
afer Softeners Material
B'.rTo Main Drain
Comb. Sink,a Trays To Curb j
I Units
iihking.Fountainsi
!Floor Drains
I WATER SYSTEM
,Hoppers �L Size -I//—, I—,I_—
RestaurantSinks I MaterialYg,I
zSanB Traps I U I tyL FEES
Urinals' Fixture_fe� j
,��tfr6
rew Drains Main Drain
0
I,'tWAfer
Leaders storm Drain Fee
pink Water Sys
let valves
Permit Fee 00
-TOTALFEE ',
Partial Rough
4116140 Corn- to 4,
Final:a
ET
41 Z
, , � { � tri
@�� � � ° )� \ � R
oo -
' 2 ' / } (
r) M
14
/ � � � .
r)o
cj;
z
p 7
0 0
. \ \ { � � K 2 �
\ \ � � � �/ � � � :
� � ® / � � \ } Q / �
� \ � : .
: } \ } *{ . Q 2 q
0 0
j ' 77 } i � � \�)� 0 Z