1709 (2) i NO. STREEETET LOT NO. `
NO. ST
D
L N FOR PLUMBING PERMIT
OF CUPERTINO
AUG 8. 196
8- - 2
Date 6 6 2
195_ Permit No. `
CITYs p o6
�: . �;r�(;'� 1 ;Fee $
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 ins&II 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 Apt, Bldg. Bldg. A -5 Rodriques Ave
v Cupertino, Calif,
Owner A�pha�fi,atnd Co �'� Address 0 kt;a h sByW. L. Hickey Sons, I Address L !8 ial St.
CONTKACTOR, AGENT -Phone -e ApprovedPLINS0.
`r.l•r
w•
`FUTURES NUMBER MAJN1PKAfN
UNITS I FEES U"NITSI FEES
VVaret Hcurer Size : .. '}
Water Closets `Jd D�� Material,•,.,;� '�• �-
Bath Tubs d �� To Curb
Showers �� To Prop. Line
Lavatories ,�oy To Exi `.. b
Kitchen Sinks 411 N onn. �, O4
Dish Washers
Waste Disposals �� ',•.;�
Wash Trays STORM D AINAGE
Washing Machines Size •i,
Water Softeners Material ',- V,*
Bar Sinks To Main Drain t:' I'
Comb. Sink a Traysl 1 ll To Curb
Dental Units I 1 11 ` _
Drinking Fountains) ll
Floor Drains it WATER SYSTEM ,
Hoppers Size
Restaurant Sinks Material ;,
Sand Traps TOTAL' F44S
Urinals-1 Fixture Fee., ! IC
Area Drains Main DramE'e
Water Leaders Storm D a n Fred '
Sprinkler Valves^� l Water Sys. Fee 01
Permit Fee ; Olt
TOTAL l TOTAL FEE '
'CO D- PECTION ^�
Partial Rough L
Rough Comp toL
Final
1 Y,'
y tits — r
Y a �t. n •� n 'd
o ,e
` r 00 Op
V
ITI
3
ro
CA
O .
/mom
id Y
i;
.,�i, �rB. 1. ^•sem � � � �
Lh a