HomeMy WebLinkAboutNO PERMIT NUMBER (3)LOT NO.
NO. STREEI'
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
N o.
October
Date /oeT N 1968 en i1 o
Pee S
Application is hereby made to the City of Cupertmo ,permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordancf yW th ov(� [[��bt{+y 'rII bin Code of the Cit of
Cupertino, and all other la%N'S" j� licag'fthYY Lf�I1�r g - y
Use of Premises Dwelling
Owner Ditz Crane Co
>3 Palm Plumbing Company
By CONTRACTOR, AGENT
vti,...e 2115-2323
State License 186579
225 De La Cruz Boulevard
Address
JA2dre55 3�mr�yvale-Saratoga Rd.
WILLWA l D.
,�( PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
❑NITS FEES
UNITS IF. F.S
Water heater
/
Size
Water Closet
13
Material
Bath Tub
/
To Curb
Shower
/
To Prop. Line ✓
Lavatories
To Existing
Kitchen Sink
/
Conn.
Dish Washer
r Box
Waste Disposal
Wash TrayTORM
;fiNlatcrial
DRAINAGE
WashingMachine
Water Softener
Bar Sink
ain Drain
Comb.Sink&'fray
To Curb
Dental Unit
Drinkin Fountain
Floor Drain'
WATER SYS'T'EM
Ilopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee xv
Area Drain
I Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee /
Vac Breaker
Skimmer
Filter
Permit Fee
Total
/ lGtYV
Total Fee aG