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51001.2 _22465 I Linda Ann Ct. LOT NO. 1-5- NO. STREET' $7-U1C ON FOR PLUMBING PERMIT ?-.1) t,(, �'4'•� ITY OP CUPERTINOw ¢ D _' oU-• 7 Sanitary NuLL j1y 70 ' �UKI•/�'' 11n�CCppTTIInnII(('�� , 1966 Permit No J70 d4 •C, ° r TV C tsLLtFlb[� h101t4h Fee $ �CL7 Com) CI t+Rpb©'Ion the City of Cupertino for a Permit to install Plumbing o a pipes and/or fixtures listed nn 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 Cupertino, and all other laws applicable thereto. wi JLL Use of Premises Residence - Lot 15 O 0 Oa Owner Franklin-Bahl Oev. AddressP.O. Box 911 , Campbell zJ By. Central Service Co. .A , InCddress 45 Queens Lane- 0 3 CONTRACTOR, AGENT San Jose — M Phone 298-0556 w z rc a a a State License J-71 53 Approved —U ✓ PLUMBING INSPECTOR FIXTURES UNITS I FEES UNITS FEES Water Haatn Size Water Closes Material r Bath Tubs To Curb Showers ,pp o top. Lin Lavatories , To Existing Kitchen Sinks ,�p Not Conn. Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink & Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size 'i Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee Q Arra Drains Main Drain Fee DO mater Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee .00 Permit Fee TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete Hain Drain Final