HomeMy WebLinkAboutNO PERMIT NUMBER (3)m Q
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NO. STREET
e APPLICATION, FOR PLUMBING PERMIT
CITY OF CUPERTINO
Ail, 1�'�SH
Date 196C
Sanitary No.
Permit No
n r— vn• Pee $ a SJ J
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on 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 of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner—C_. I__ Address
rni/eal �p/y��ce �'a., 9see
By ' Add re
pCONTRACTOR, AGENT Charles r
PhontgeR,0 S" San Jose, California 95112
�� WLL UAM D.HENEKLCH
State License �7%�..�/ Approved �
y PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS I FEES
UNITS FETES
Water Heater
I I h 50
Size all
Water Closet
.d0
Material e�' i
Bath Tub
To Curb
Shower
e 50
To Prop. Line
Lavatories
3 0-�5D
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 Dra'
Comb.Sink & Tray
1110 C
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size I/
,
Restaurant Sink
Material ,4
Sand Trap
'TOTAL FEES
Urinal
Fixture Fee / OO
Area Drain
Main Drain Fee Sao
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee SID
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee a- D (�
Total
/0 1500
Total Fee Oz