1559 LOT NO.
NO. 5 �'E..�a`T� .•• - ..
44 APPLieATIONTFOR PLUMBING PERMIT ,
t ", Vr%WAL' P..
a CITY OF CUPERTINO
MAY 17 1962
Date , 195_ Permit No.
CITY OF CUPERTINO Fee $ +
r` Application is hereby made to the City of Cupertino for a permit to installlplumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordancewith a provisions of the Plumbing Code of the City of
Cupertino, and er laws li ble the o. - s
$ Use Premise L411 i
Owner Address 1 ~
gy
Add res
CON CTOR, AGENT„ _P
Approve 1 i _a:.
r/. LUMBING INSPECTOR
'1
SURES NUMBER?-F MAIN DRAIN
I UNITS I FEES II IUNITSI FEE:
Water Heater II Size 1
Water Closets 1 Material
Bath Tubs I I To Curt
Showers I ( To Prop. Line
Lavatories I To Existing
',..Kitchen Sinks Not Conn.
''D,ish Washers 1 SEWER BOXES
(astef� as _
y's 'Pra" STORM DRAINAGE
ng,.Machines Size
Water.' offeners Material
Bar,Sihkg' To Main Drain ; I,
Comb. Sink a Trays To Curb I w
Leiital Units
Dnnkmg Fountains) II
Floor Drains I I WATER SYSTEM
Ko ers Size
PP II II_
Restaurant Sinks -Material I
Sand Traps I� TOTAL FEES —
Urinals I IF Fixture Fee /
Area,Drains I I II Main Dram Fee 1
Water Leaders Drain Fee
Sprin}ler Varves t� 1 F+a II Water Sys. Fee 1
Permit Fee
'TOTAL II TOTAL FEE
RECORD OF INSPECTION
Partial Rough _
Rough Compl to
Final
:w
A
GAS SERVICE NOTIU- OCOPYFFICE
BUILDING INSPECTOR'S OF FIC E
CITY OF CUPERTINO
. ........... ------- ---- --- ----- -- ---------
To
You are hereby authorized to connect the GAS service for
---------- ---
Ownle'r.or Tenant __eV_ Ie,- -IC/--- -- - 0 -�- -- ---- - -- ----- - ---- ------
A ,vo........... -.0--------- ----- ---------------- .......................
1!520?
At.. ----- . ..........................
New Service ... ...............
No. of Meters --/.................. Reconnect .""-.-----."---------""------J
Move Service ------------------------
No. of Add Meters ................ Move Meter ..........................
..............
---------------------—-----------------------
PLUMBING INSPECTOR
110 1/60500