51046 (2) 10656 Rosewood
LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
a CITY OF CUPERTINO
zm X997
r p sanitary 1�n..
3a Date - 1 Permit No S/Opp
U Pee $ O
, m Application is ereby a the of Cupertino foi a permit to install plumbing
o P pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i H and/or kRtufyy irrpECor/)wt(� rovisions of the Plumbing Code of the City of
a w Cupertino!lan a the ss�U thereto.
4-Plex
Use of Premises
0o William White 365 La Prenda Way
> �
0 3 Owner Address
oa
zz By Winchester Plumbing Co. Address 1217 Dell Ave.
O CONTRACTOR, AGENT
3 �
— am Phone 379.7615
W Z
ao State License 0210245 Approved
U �-' PLUMBING INSPECLOR `'
FIXTURES NM E MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closets Materia'•
Bath Tubs To Curb
Showers To Prop. Line
Lavatories / To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Arater Softeners Material
Bar Sinks To Main Drain
Comb, Sink s, Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size H
Restaurant Sinks Material
SanT Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders Drain Fee
Jprinklcr Naives Water Sys. Fee /6-0
Permit Pee O 0
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
Rough. Complete..
z Iain Drain
Final...