51187LOT NO. le ,7
NO.
j A' PUICATIOWFORI PLUMBING PERMIT
{ CITY Olt CfUPF.RTINO _
!JUN 12 1968 V;; Sanitary i\'u. 57�
Date June 10� 1968 Permit No —I,— Ile 7
""TY OF CUPERTINO
Fee s,23�
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 Dwelling
Ditz Crane Co,
B Palm Plumbing Co.
By CONTRACTOR, AGENT
V11--- 245-2323
State License. IM579
2A2dd5esDe La Cruz Blvd,
]A2d3) Sunnyvale -Saratoga Rd,
ress
MI:LLIL.Fd D. C`-IdG\'Ic:Si
{�U (Y PLUMBING INSPECTOR
\ ' \ ill
_FIXTURES NUMBER I MAIN DRAIN
UNITS I FEES UNITS I FEES
Water
Shower I / 1 11 To Pro D. Line I / I
IKitchen $ink
Dish Washer
rXQ
Comb.Sink&Tray I 1 11 To Curb
Floor Drain WATER SYSTEM
Hopper Size I
texture P ee
Main Drain Fee
Storm Drain Fee
' Total I y 11 Total Fee L.Zjsd