51182 Plumbing Permit.S4 I / /tet Qtx," / K.& - LOT NO. 9.3
NO.—'STREM 40
APPLICATION FOR PLUMBING PERMIT
—i CITY OF CUPERTINO 5717Yz i
x ¢O '1 tit Sanitary No. o J Date 196 Permit No
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3 LL Ij `] / Fee $e,,%3
O Applicah a i's'tier L�j'pde dt;lhe City of Cupertino for a permit to install plumbing
`o �i�c�s ��nd/or fixtures listed c�the reverse side hereof, and agrees to install said prices
> I df/Sr fikldres n accordance with the provisions of the Plumbing Code of the <:ny of
i w Cupertino andel 4� laws applicable thereto.
Use of Premises a l!/'✓ 1 �.L.21-�'v� . 4 A •_ AA x+w cta_r--2 A
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- 3 Owner !yrs :Lt's+ 1 A 1 A Y
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CONTRACTOR, AGENT
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Phone --='291, - le 3
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State License.
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water fle Iter
J .SO
Size "
Water Close[
, 0
Material
Bath Tub
/
To Curb
Shower
p
To Prop. Line
Lavatories
A. O
To Existing
Kitchen Sink
/ / .,T0
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
1.60
Size
Water Softener
Material
Bar Sink
To Main Brain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size II
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Brain
Main Brain Fee
Water Leader
Stone Brain Fee
Sprinkler Valve
Water Sys. Fee / ,
Relief Valve
Gas 1' cc 1
Vac Breaker
Skimmer
Filter
Permit Fee
Total
9 13,$0
Total Fee 946