1707 (2) LOT NO.
NO. STREET '
APPLICATION -FOR PLUMBING PERMIT-
CITY,OF CUPERTINO �f
16 a Permit No.
I.
'AUG 8 1962 Fee31 °-�
$
Application is hereby made to the City of Cupertino for a permit to install plumbing
{pipFsfa4 or fixt�sPliste�� the reverse side hereof, and agree to install said prices
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and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
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Use of Premises Apt. Bldg. Bldg, A -3 RodrignPG Ava
^+ Cupertino,
v
Owner_Alpha T and Cyo, Address 320 Sar to a Aue
os oS Calif.
By W. L. Hicke oris .''*Address +
CONTEACTOa, AGENT
Phone Re 6-4 38 :i Approve
>- PLUMBING INSPE O , n
=-IfjkES NUMBER 11 MAIN.,15RAIN
UNITS FLIES I of UNITS FEES
Water Heater 0-01 Size '
Water Closets
Bath Tubs �ajl To Curti j
Showers j jj To Prop., Line �i?i
Lavatories j j� To Exist' �� k
Kitchen $inks j a^0^11 Not Co n. ,1
DishWashers j
Waste Disposals I
Wash Traysj j STORM -DRAINAGE
Washing Machines j j,�o-0j Size ,• 1:, j
Water Softeners j j jj Material
Bar Sinks To Main Drain
CumTo Curb j `t
Dental Units j I �j _, j a
Drinking Fountains] j jj
Floor Drains j j WATER SYSTEM
Hoppers I '
Restaurant Sinks Material j
Sand Traps j jj TOTAL FEES
Urinals j Ij Fixture Fee j t'
Arca Drains j jl Main Draih Fee j ?
Water Leaders j j Storm Drain Fee—
Sprinkler Varves j j jl
Water '.
Ffe I ��
Permit Fee . ti
TOTAL j j OTAL FEE el cq
RECORD OF I ON
Partial Rough /c)/j (07/
Rough Complete '
Final — ! ./ �+
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