1259 LOT NO
NO. STREET .
��PLrfT ON FOR PLUMBING PERMIT ,_. -_
Di•� OF CUPERTINO
D SEP 26 1961 195_ Permit No. Z
qIT�( �F 'MQFees 1
1 ppl cati n is y e 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
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OwnerCOm�7o,✓G/EAt�y B /�pEPSAddress A OSE
PU OL Addr C E�G
CONTRACTOR, AGENT
hone FSP- �- /// Appr
PLUMBING INSPECTO
UR'ES BB-R ! M �,_.. 'u
UNUNIT
ITS FFES ��� M f' SI FEES{
Water H im teSize yf�
Water -C,nlsets i ? J1 Material &�? ,
Bath Tubs / �� To Curb
Showers aj �� To Prop Lme ,;�
Lavatories �- �� To Exlshng
Kitchen Sinks / � , �� NCC
-Dish� — Washers
Waste: Disposals /
"Wash, Trays � ' �� STORM DRAINAGE
Washing Machines / �� Size
Water'Sofieners 1-1
Bar-Sinks . �� To Main Drain-
Comb, Si kh Trays . 11 To Curb � a t
tDental.Units
,Drm- ingtF.ountainsi
1 FloorDrains T 11 WATFR SYSTEM
'Hoppers I I Size „may
Restaura�"ginksMaterial
Sand Traps ( TOTAL FEES
Urinals _� �� .Fixture Feey SQ
Area Drains Main Dram eel
' Water Leaders �� Storm Drain, ree
Spnnkler'Vawcs II Water SYS.""" cc
EWER-=BOXES / SO � Aertnit Fee, ' i�� /-0�0 -;
` OTAL. �� TO'PAL PEE
R CO tD 'ECTION
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