HomeMy WebLinkAboutNO PERMIT NUMBER (6) LOT NO.
NO. STREET
N ® �dAPCATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
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Sanitary No.
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O j ate I: 196 Permit No
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p io,(lpsl qT7 }�,fy� to the City of Cupertino for a permit to install plumbing
`o a pipes an /o'q'i rFslliSt��Vd 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 ofy
a w Cupertino, and all other laws applicable thereto.
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CONTRA OR, AGENT
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aState License �'���� Approved
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PLUMBING INSPECTOR V
302
HX I URES NU, BER MAIN DRAIN
UNITS FEES UNITS1 FEES
Water Heate Size f+
Water Closets (0 Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing .�
Kitchen Sinks Not Conn.
ff-ish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
\Vater So tenets Material '
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
tin mg Fountains
Floor Drains WATER SY TEM
Hoppers Size �'
Restaurant Sinks
Material Oq
Ta—.T Tr-aps TOTAL FEES
Urinals Fixture Fee
tea rains Main Drain Fee
Water Leaders Storm Drain Fee
�prinklcr Valves Water Sys. Fee
Permit Fee —2, 1
TOTAL TOTAL FEE „1
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Hain Drain
Final