1656 11 7. 33 Lp, CY LOT NO.
NO. •Ja
R PLUMBING PERMIT
IVAL 2 7 196f' j61 CUPERTINO
Date— 6 195_ Permit No.
CITY OF CUPERTINO Fee $_ �_
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
r n
$ Use of Premises /
Owner &Add v a rO- Address
// 7 p
By4 �.�Z!Lr �Lf. .�a� _ Address% 6 ✓Fns
CONTRACTOR, AGEkYT
Phoned+ Approve
PLUMBING INSPECT'
d
FIXTURES NUMBER MAIN-DRAIN
UNITS I FEES IUNITS1 FEES
Water Heater Sl ie 7
Water-Closets o- �� Material GS'
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existin
Kitchen Sinks Not Co22 m
Dish Washers
Waste Disposals / llT lTl
Wash Trays STORM DRAINAGE
Washing Machines l Size
Water Softeners Material j
Bar Sinks • To Main Drain
Comb. Sink a Traysl To Curb
Dental Units I
Drinking Fountains) � �I
Floor Drains I l Il WATER SYSTEM
Hoppers l l 11 Size 7
Restaurant Sinks Material l
Sand Traps Ij TOTAIV FEES
Urinals ll FixtureFee ".
Area Drains l l ll Main Drain F1e—'e .06
Water Leaders Storm Drain Fee
Sprinkler Vaives Water Sys. Fee l /. OU
_ l Permit Fee A7N 1 ,00
TOTAL 7:i7 I IrTOTAL FEES
RECO D I CTION r .
Partia ough
Rough Complete /
Final
Bldg: Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F1 Sewer Connection
Sanitary Permit No. -CZ3.6
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04.4lumbing Final Plumbing Permit No.
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Lot No. .....// ... ......
k aD
Owner or Tenant ...... -- -- ------
At ....//
Tract
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Date Connected.---- --------------------
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Date Final --------------------------------------
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45rLJMBI.NG INSPECTOR
717 7/61-500