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1007 NO Z3 No 4r I ' j P�LieATic 9FORnPLUMM& PERMli-Irj �CITY0F CUPERTINO Date NTY 0' cipoz Permit No. /00 7 Fee $ Application is hereby made to the City of Cupertino for a permit to install.plumbing N pipes and/or fixtures listed on the reverse side hereof,�aiid agrees to install said prices and/or fixtures in accordance with the provisions of the.Pluimbing Code of the City'of Cupertino, and all other laws applicable thereto. 8 Use of Premises— 2446;rz leed Address 'Orel, By WdEft, Address,/-I-> CoNfiACTOR, AGENT Approvedg Phone T - PLUMBING INSPiEC R - OGRES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater / Size Water Closets �� Material Bath TOs / ,� �� To Curb Showers . .�.� �� To Prop. Line., -F Lavatories _�' ,��+_ _� �� To Existing -•. Kitchen Sinks �'' �� No Co �� / Dish Washers ��gEWERsozE '� a5 'Waste Disposals t Wash T65y J1 STORM DRAINAGE r g Machines / �I Size •� NWater ooftenersMaterial j B�a_ Siiiks To Main Drain Cdinb-Sink a Trays �� To Curb DetitalDUnits I Drinking,Fountains FIboP. •Fains �� WATER SYSTEM Size / Restaurant Sinks Material Sand Traps TQii'AL FEES Urinals jj 'Fixture Fee % ;¢=0 Area Drains Main Drain Fee 3a�� Water Leaders Storm Drain Fee Sprinkler Yaives �� Water Sys. Fee. ,�,.,4'/,9 p.p ,..,. �� Permit Fee �;•-.i�•'/_.;•. Bo T©TAL (a II TOTAL FEE EC RD I ECTION Partia[?Ronghia, Rough Complete / •`" ;` l' Final:, i Cupertino Sanitary 4 Offirr;Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection , Sanitary Permit No. 12, ' PI tubing FinalPlumbing Permit,No:.' � �7 � � ?" 1*4 No Owner oryTenant © — Ata� _ ---- 7 Tract Date C+onnecte - -......_........'.<. _l, fo� � 'f--.._--......._--------------- DateEinal ...-.....-------------- Com! .�.2. ..... 1961- Date --- ':- +}�hy� x...,, ---- P JMIiING INSPECTOR ' itt 1/60-500 . -