1428 /od.sa I ✓.�(.STREET .".LOT NO. /o
R PLUMBING PERMIT
C F CUPERTINO
Date , 195_ Permit No.
CITY O CUPERTINO Fee$ /l
` 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
Cl Cupertino, and all other laws applicable thereto.
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b' Use of Premises o
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Owner y.� � n a.1 .o , <� �— 't>' Address
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Y-tlros, weNr
f-Phon — ��� Approve
PLUMBING INSPECTOR
URE NUMBER 7 ;DRQ,;
UNITS FEES 11 �'I F.IU 4ITSEEESI!
e'r'r Heater / 1-Sizev//
�Water'.CFosers Material P T
Hath`Tubs, To Curb .
Prop. Lin
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avatone2 To Existing
Kitchen inks /-,�-0 onn. z.
Dish. Washers /
Waste t isposals
�Pgsh''Crays / S'CORM DRAIN^ AGE
Wi Machines 11 Size
Water` Softeners �� Material
=Bar Sinks 11 To Main llrainr
C bunk a Trays 11 To Curb
Dental Units
Drinking Fountains I II
`'Floor Drains WATER SYSTEM
Ho R S
`Re'sC urant. Sinks ��Materml
'>Sand Traps TOTAti':PGES
U.iiLnls �� Fixture Fee /3: 0
>iAr'ea Drains �� Main Draih Fee
ater'Leaders _� Stc rrn rain Fee
`'.Sf;lrinkter Valves 11 Water Sys. Fee I j go
-11permit Eee
TOTiCL 10TA1:;FEE, ., /I .•ts0,;
t, R 'CO D C IN ECTION
Partial Rou y s
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