1438�c { LOT
NO, STREET
PLUMBING PERMIT
IPERTINO
Permit No. % qz
Fee $ q
oa
Application is hereby maae'torftio�ity 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 lays applicable thereto.
Use of
Owner����(— Address G�� sD- S✓.
SAE AMARAL PLUMBING, IN Address
33 COx3h(G�6RI�1E6?/h T
�.TtLone SANTA C6ARA, CALIFORNIA' FApprgVe
lei '1' + i -v PLOMBING INSPECTOR
_6u3'.yG� p�:. .
Heater
.Washing Machines
Size • I.
I
Water Softeners
Materia -1
_
1 '
Bar Sinks -
To Main TDran
;
I.
Comb. Sink & Traysl
I^ II
To Curb
Dental Units I I- , 11
,Drinking Fountainsl
Floor Drains
WATER SYSTEM a:
,;;,
'Hoppers
Size
Restaurant Sinks
Material,
,
Sand Traps
TOTAL FE
Urinals 1.
Fixture Fee
00
Area Drains
Main Drain Fee
/ 4z:)
Water Leaders
Storm Drain Fee 1.
Sprinkler Naives
Water Sys. Fee
/,o'p '
_
Permit'Fee
o-0
TOTAL
mo
TOTAL FEE
o 0
RECORD O INSP CTION
Partial Rough `
Rough Complete
Final