HomeMy WebLinkAboutNO PERMIT NUMBER (3)LOT NO. � 7 y
NO. .`,MEED
/APPLICATION FOR PLUMBING PERMIT
,I
CITY OE CUPERTINO
((AUG 12 1966 Sanitary Ino.
Date 'rUly 196 8 Permit No
ilDCi)TIl ti),6Z
r. uin 1 :, Fee $ s26
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 l
Dwe>
Owner Ditz Crane Company ?�?���SDe La Cruz Boulevard
B Palm Plumbing Company �A4h,p mnyvale-Saratog4 Rd.
By CONTRACTOR,AGENT
Phone 245-2323
State License 186579 ApprovedJILL1AiA D. 6ZNEVICH
PLUMBING INSPECTOR ' /
FIXTURES NUMBER MAIN DRAIN
UNITS I FEES UNITS I FEES
Shower I / 1 11 To Pro D. Line I v1
Sewer Box
Waste
wash
Comb.Sink &'rray
To Curb
Dental Unit
Drinkin 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
Total