51089.1 (10) eta 21230 Nest Homestead Rd. LOT NO. Bldgy . #10
NO. STREET
oo b PE C FOR PLUMBING PERMIT
W < 1 i P CUPERTINO
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1 _ 968 (� Sxni[a ry \o.
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° a Date `* . 196— Permit No �•i
3
I Pee $i ° AP eTV InSsErebynIDdeooTTth ,y /id - JJ
of Cupertino for a permit to install Plumbing
o .w- pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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Use of Premises apartments
pO 801 American St.
3 Owner Herman Christensen AddressSo, n��
zj 2301 Palm Ave.
J z By, J. W. McClenahan Co. Addressc, rte+P , F
O CONTRACTOR, AGENT �
3 ` 345-1691
– m Phone WILLIAM D. BENEVICH
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a o State License. 133158Approved
11 —U . PLUMBING INSPECTOR
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FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater z 3,Go I 1 0
Water Closet /6 — Material IW
Bath Tub /6 gt— To Curb
Shower To Prop. Line r
Lavatories /6 ¢-- To Existing
Kitchen ink 16 �7y Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size 2_ ,;� I ;! 1
Restaurant Sink Material ,9,.C..
Sand Trap 'NOTAL. FEES
Urinal Fixture Fee i
Area Drain Main Drain Fee ,(?6
Water Leader Storm Drain Fee
Sprinkler Valve Water Sys.Fee 3,0()
Relief Valve Gas Fee 2 p�1
Vac Breaker
Skimmer
Filter
aTatr
mit Fee .UO
'total al Fee