51089.1 (9) p9 21230 West Homestead Rd. LOTNO. Bldg . #9
NO. TEP
PI . C-/1'f I
• NOIr PLUMBING PERMIT
0 d C[TY F 'CUPERTINO
f X MAY 31 1968 Sanitary No
oQ Date 5-2h.-68 196— Permit No.
3 LL r CUPERTINO Fees lZ e
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Application is hereby made to the City of Cupertino for a permit to install plumbing
o apipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
I and/
fixtures in accordance with the provisions of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto.
w Z
a ~ Use of Premises apartments
00 001 American 6t.
3 Owner Herman Christensen Address San Carlos
°-j 2301 Palm Ave.
J. W. McClanahan Co.
J z By Address c..., nn.,+....
O CONTRACTOR, AGENT
— m Phone
345-1691
w z WILLIAM D. BENEVICH
rca 58
u a State License 1331Approved
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J- -0 � PLUMBING INSPECTOR ✓
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater 3 i Size 4"
Water Closet /c Material rl/
Bath 'Cub /6 -;?f To Curb
Shower To Prop. Line v
Lavatories To Existing
Kitchen Sink Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Troy STORM DRAINAGE
Washing Machine Jo 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 -'.D'Restaurant Sink Material a4
Sand 'Trap 'TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee ,j:CC
Water Leader Storm Drain Fee
Sprinkler Valve Water Sys.Fee ,�,0
Relief Valve Gas Fee t .J O
Vac Breaker
Skimmer
Filter
g Permit Fee oy .00
Total Total Fee