51075.4 Q,UA AR,(/,(y�yry(�aPORATrom
d I cyJ�'Y(1rk LOT NO.
NO. STR
ON FOR PLUMBING PERMIT
z
z < :ITY OF CUPERTINO
i
Sanitary No.
LL (�
0 -1 I 7 —7Q\ V 96_ Permit No / 0 �S r
iLL l ��v Q�� Pee $ 140
° capon is her� }�ade to the City of Cupertino for a permit to install plumbing
`o pipe and/or esTisted on the reverse side hereof, and agrees to install said prices
> < and/or fi a�eslti'accordance with the provisions of the Plumbing Code of the City of
a w Cuperti� 'te'l all other-laws applicable thereto.
w x V
Use of Premises office-warhhouse
00 500 Harbor Blvd.
3 Owner Williams & Burrows Address Belmont
O < 2301 Palm Ave.
� , By xJ..W.McClenahan Co. Address kSan Mateo. Calif.
CONTRACTOR, AGENT
3 `a
— Phone K-1691
State License ec�,� n
� a 133158 Appy ✓
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PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
Units Fees 11Units Fees
Ws ter Heater Size 6 S�
Water Closet % Material v� 7-1
Bath Tub To Curb
Shower To Pro . Line ✓
Lavatories To Existin
Itchen Sink 2— Not Conn.
Dish Washer
Waste Disposal /
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener I Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material n N
Sand Trap TOTAL FEES
Urinal 8 Fixture Fee /e/ I )
Area Drain Main Drain Fee -✓`.CO
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee
Relief Valve
Vac Breaker
Skimmer
Filter
Pool Sweeper
. S
kJt .r
Permit Fee
Total Total Fee p