1410 5,5 I Vest. ,A.nre5 LOT NO
NO. STREET
VP ATION FOR PLUMBING PERMIT
—' CITY OF CUPERTINO
FEB 13 662
Date---8- ebruary 19562 Permit No. PZ/0
Y OF CUPERTINO Fee $ 1.50
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.
Use of Premises Soft Water Service
;.a
v -
owner Bill Patterson Address
By Ra e Soft Water Service Address
CONTRACTOR, AGENT
,Phone ES 7-5609 Approved PLUMBING INSPECTOR
a-
UI --ffuD4 e M AIN
UNITS I Fims I� (UNITS FGE9y
_Water Heater Size
Water Closets Materia
Bath Tubs To Curb
Showers To Prop. Line
'Lavatories To Existing
"Kitchen Sinks Q Not.Coon.
Dish Washers
Waste Disposals
Wash STORM DRAINAUE
Washing Machines I, Size --
Waterers Material j
Bar Sinks .. To Main Drain
Comb. Sink &I rays I To Curb
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
Sand Traps TOTAL PEES
'Urinals Fixture Fee
Area Drains �� Main Drain Fee
Water Leaders �� Storm Drain Fee
Sprinkles er ya Ives I I Water Sys. Fee
NEWER BOXES Permit Fee 1
TOTAL TOTAL FEE
RECORD OF INSPECTION
Partial Rough
�FRough Comp ete '
Finan
k