629"-k�; &
NO. STREET '
7,
LOT NO.
9"AP
I T�jqFOR PLUMBING PERMIT
0 C//
d04;TY OF CUPERTINO
JAN 20 196
Date 195_
CITY Cr CUPERTINO
Permit No.
Fee $ / S�
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 I — !' -N
Approved WILLIAM D. R—kF)ngti
PLUMBING INSPECTOR
UNITS
Water
Washing Machines
Sized
Water Softeners
Material
Bar Sinks
To Main Drain ;
Comb. Sink & Traysi
To Curb ` i
Dental Units I I
Dfihking.Fountains II
_ i f
Floor Drains ��
WATER SYSTEM
Hoppers
L Size rr
Restaurant Sinks
Material S'
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
Area Drains
Main Drain Fee Ij
Water Leaders
Storm Drain Fee
Sprinkler ,Vawes
Water Sys. Fee - U
Permit Fee
TOT ALL
TOTAL FEE549—
F—
RECORD OF NSPECTION
Partial Rough
Rougfi Com tete_.; ,.� Y }
Final �
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
F� Sewer Connection
[T"Plumbing Final
Owner or Tenant ---
At......
Cupertino '
Viaiii r -Y
•Office (ty
Sanitary Permit No. ........
Plumbing Permit No . ...... 6 ...........
Lot No. ........ 117A: . ........
Tract .............
Date Connected ..... . ...
.. .........-- ........... .......... . .... . .... .... .....
Date Final ................... . . ....
..........
WING INSPECTOR
111 7/59-500