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1910 (2) NO. STREET LOT NO. 'v �� � as rr i P CAI_I�I�FOR PLUMBING PERMIT !Y CI OF CUPERTINO Date .� ars 7 1953 +(� 1973 Permit No. l =] I D ClT.X. C C''dERTINO Fees a o "Application is hereby made to the City of Cupertino fora permit to install plumbing -pipes and wli£'tutes listed'on the reverse.side hereof, and agrees to install skid prices d/br 5xtures`? tdanceEs' ns of,tfie PlGinbing_Code of the City of .= �` and,aU other laws applicable ihereto. 8 Use of Owner - A . } gyf! ' . :,1•.". Addr s COMAACTOR, AG HNT , J Phone�'�/�`.r+» %r !� Approve PLUMBING INSPE R � 1 �iS �URIS NUMBE M I UNITS I FEES 11 IUNITSI FEES Water Heater i �I Size Water Closets 9 Material Hath Tubs To Curb Showers � � � 11 To Prop. Line Lavatories 1=-1--- �� To,,�1'xtstm Kitchen Sinks ( _ �� on Dish Washers I ( it SEW XEBl Waste Disposals Wish "frays STORM DRAINAGE Washing Machines I / Size Water Softeners 11 Material I Ber Sinks 17 To Main Drain Cpmb. Sink &Trays 11 To Curb Dr' e Fou tains II, t _ Floor Drains 11 WATERS 3 Hoppers Size _el" Restaurant Sinks Material Sand Traps TOTAL FEES Urinals Fixture Fee : ' Area Drainsj Main'Draih Pee ^^ Water Leaders Storm Drain Fee Sprinkler Vulves I I II Water Sys. Fee �� Permit Fee TOTAL T'fel �� TOTAL FEE aft RECORD OF S N Partial Rough Rough Com to — Final : 0 . . \ it ( * 2 : // � \ . \ ■ § (A a ,