1429 (2) 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.
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6111 PLUMBING INSPECTOR
UM IN)L).R-AIN
UNiTS i FRES II JU&ITS1 FEES
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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
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rew Drains Main Drain
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Leaders storm Drain Fee
pink Water Sys
let valves
Permit Fee 00
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