51087 (2) 22194 I MjCr1e11an Rd LOT Nn2
STREE.I'
w ® I ION FOR PLUMBING PERMIT
f CITY OF CUPERTINO
x o . 'ISEP 14 1965 y No.
f $:mrtar
4
0 < [)ateSept. 13 196 5 Permit No �� O 7
W 1ITY OF CUPERTINQ Fees 1.�o D'
Application is hereby mace to the City of Cupertino for a permit to install Plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
<w Cupertino, and all other laws applicable thereto.
w Z
� r
Use of Premises Residence
00
3 OwnerFrankl i n—Rahl Const Address P.O.B'Ox 911 ,Campbe11
0a
z �
; ZByCant.ral Sarvinp Co_Inc_ Address451 Queens Lane,3J.
CONTRACTOR, AGENT
3 r
- 0 Phone 29$-0556
wz
W .
aa.
State License ApprovedWILLIAM D. DENFVIra ? ? N
IU�I PLUMBING INSPECTOR
FIX I URESJ BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate Q Size d 1 D�
Water Closets 2 ZOp Material
Bath Tubs p o To Curb
Showers 0 To Prop. Line
Lavatories j 00 To Existing
Kitchen Sinks 1 00 Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines p Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sinks Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size I ' 1
Restaurant Sinks Material CA
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee oC
V)/ater Leaders Storm Drain Fee
7-prinkier Valves Water Sys. Fee 110 Q
Permit Fee Z e 0
TOTAL TOTAL FEE o U
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough, Complete
Main Drain
Final