HomeMy WebLinkAboutNO PERMIT NUMBER (3)LOT NO.
NO.
APPLICATIO=N WING PERMIT
r� I r r
V n t1. yl No.
October f 0cT 8 �s6$ ci'mit No
Date
Pee $ �Z L SZl
Application is hereby ? In it�b� ppy ,Pro qqr a permit to install plumbing
pipes and/or fixtures listed ori the reveise�std -Nerco , 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 DWeI
Ling
Addy
Owner Dita Crane Com De IAL Cruz Boulevard
A ress
Palm Plumbing Company]A2 Sunnyvale -Saratoga Rd.
BV eSS
CONTRACTOR,AGENT
-- 245-2323
State License 186579
WILLI M D. L--NZVlCH
PLUMBING INSPECTOR r/
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Heater
Size
Water Closet
�2
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories _
To Existing
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 B Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
'TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader.
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
leS�
Total Fee —2 /-01