1418 • NO. E
&AR
rip,
FOR PLUMBING PERMIT
FEB 27 1962 COF CUPERTINO
Date Permit No.
CITY OF UUM1111
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 taws applicable thereto.
Use of Premises A/0/ut& - o
Owner /rr Address
Ems_...._ enc. WATER S Address
t CONTRACTOR AGENT•
�`1Il{7'// Phone00 Longfellow Avenue Approve
/ , PLUMBING INSPE R
U
u NITS
Rk,ue�r Size
ht&Bath' cjo,kts To Materials
Tu S, !Cuib
rS To Prop. Line
J
ri To 'Existtng
Klt�hen Sinks I it Not Conn. 'g.'g.
ers
ray s STORM 1,5RAIN-
1
mI
King Machines l Size
Water I 'loners Material
44,
II
Bar i D To Main rain"
qmb. Sink& T 71
Iraysl 11 To Curb
f
rilal Unit
pnlkifig;rrtountains 1, II
WATER Floorin E SYSTEM
Hoppers..
RestaurantSinkg" Material - vT
Sand--Traps
s Fixture Fee
Drains I I 11 Main Drain fee I
r
i derS storm Dram C
kler„ViLves Water}Sys. Free_ 7
Ek i§oxrzs _j
L79 TAL TOTAL FE[i I
TO:AI:
RECORD-0P INSPECTION
jpartial Rough
Rough C "I to
7,