51087 10777 Linda Vista Dr. 9 LOT NO. 9
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® CON FOR PLUMBING PERMIT
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a CITY OF CUPF.RTINO
x o SEP 14 1965, Sanitary No.
¢ LL .Siv —
Date , 19615 Permit No
O CITY OF t 1 Pees i_�-40
' 0 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
and/or fixtures in accordance with the provisions/ p sons of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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J Use of Premises -Reside-de-n.Ce 000
3 OwnerFralklin Bahl Const Address P.O.Rox 911 Campbell
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By Central Servi re Cn _ Tnr . Addressl15.l Queens Lane, S. J.
3 r CONTRACTOR,AGENT
- am Phone-2556
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< 0 State License Approved WILLIAM D RENEVICH
PLUMBING INSPECTOR v
FIXTURES NUMBER
UNITS FEES UNITS FEES
Water Hcatc I jou Size .".f 0 0
Water Closets :Z Material C_•
Bath Tubs ( v To Curb
Showers t,4 To Prop. Line
Lavatories 0 To Existing
Kitchen Sinks "( 0 v Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines (,0 Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink-& Trays To Curb
Dental Units
Drinking Fountains
Moor Drains WATER SYSTEM
Hoppers Size J �� oa
Restaurant Sinks Material Gh�
San Traps TOTAL FEES
Urinals Fixture Fee dao
Area Drains Main Drain Fee o
Water Leaders Storm Drain Fee
�prinklcr Valves Water Sys. Fee
Permit Fee
TOTAL p2; TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough, Complete
Main Drain
Final