51046 (2) 10696 Rosewood
OT NO.
NO. STREET
AMC�""I ON FOR PLUMBING PERMIT
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Z 0 J L(,I P CUPERTINO
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Sanitary No..
o a Date M AY 25 1967 '.Z Permit No .5/0 ,(
Pee $ r0 �
o A I' is eb]�Q {� i of Cupertino fora permit to install plumbing
o pipesa tr Y�fix Is 1h I ww'se side hereof, and arees to install sid prics
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
wCupertino, and all other laws applicable thereto.
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0 .. Use of Premises
4-Plex
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Owner William White Address-
365/La Prenda Way
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z By Winchester Plumbing Co. Address 1217 Dell Ave.
CONTRACTOR, AGENT
3 Phone 378-7615
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State License e210245 Approved W .w
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—'1U PLUMBING INSPECTOR
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FIXTURES I 'R MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories Z To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
\eater Softeners Material
Bar Sinks To Main Drain
Comb. Sink a Trays To Curb
Dental Units
Drinking Fountains
floor Drains WATER SYSTEM'
Hoppers Size „
Restaurant Sinks Material 9L
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders A"==-Drain Fee
Sprinkler 71. Water Sys. Fee
Permit Fee Q
TOTAL 3 TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
.Rough. Complete..
X4ain Drain
Final...