HomeMy WebLinkAbout51167.1 Plumbing Permit—U
I/ 2Yfl�%�/yCJ/ �/Y/ . LOT NO.
NO. STREET
APReUvCtA ION FOR PLUMBING
! 1RA
CUPERTINO
JSanitary Nc
PERMIT
Date V I rv2 Permit No
Fee S
Applinerf8lis h'tmbyrm:rd-q��t!qq��tt{{jRCt��Cyi' of Cupertino for a permit to install plumbing
pipes and%or fixtures hstt-d �d.Fb reyF e 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
M
State License
/4//S/� Approved WILLIAM
pprovedWILLIAM D. GENEVICH
T PLUMBING INSPECTOR
!-�
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water i-leater
Size
Water Closet
Material / .
Bath Tub
To Curb
Shower
/ To Prop. Line ✓
Lavatories
To Exisfiraz
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee ,� D
Area Drain
Main Drain Fee :—:I
Water Leader
I Storm Drain Fee
Fi
Total Fee