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1064 (2) / V 2J/ W G I LOT No. Yz� NO. STREET ' ACN FOR PLUMBING PERMIT . . CUPERTINO Date Permit No. Fee $ A hclt�isVh&eby'j dQQo II"CCit of Cupertino for a PP Y ty pe 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. j c � , Use of Premises v `Tow 7t �-�ou �� Ty � •. ....... ..... . .... .�....., Address "�stlVE Address :'ifs" H;,wcPar7R1 c ApproveEl ) " G - I PLUMBING INSPE OR r t•' t_ r �f IX URE UMBER M IN MAIN UNITS FEES UNITSFEES tr VHean;r Size ' Vater C osets Material ' r Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks N -Conn Dish Washers Waste Disposals Wash Trays `' STORM D#AINAGE Washing Machines Sizeial Water Softeners Mater � p7Et'j. Bar Sinks 11 To Main Drain. '-I Comb. Sink s Trays To Curb Dental Units Drinking Fountains _ �I Floor Drains I II WATER SYSTEM Hoppers 11 Size '14f I . Restaurant Sinks Material IA. • Sand Traps , TOTAL FEES,• Urinals �� Fixture Fee . •r.1 , Area Drains Main•Dralil Fee o — Water Leaders �� Storm Drain Fee Sprinkler Vawes II Water Sys. Fee ' Permit Fee _TOTAL TOTAL FEE RECODOZIWIRCTION _ Partial Roegh Rough Comple e Final Cupertino Sanitary Office Copy. -:BUILDING INSPECTOR'S OFFICE I CITY OF CUPERTINO rre�p(�oo Sewer Connection - Sanitary Permit No. ...../l...L..Of......... ©/Plumbing Final Plumbing Permit No. . Q.G��1.. ....... Lot No. .....�7..-----..._.. Ownei or Tenant ............. ....._/.. - ---- -.. fes..'................. At ... rP//.L''...-,,=__ .L........ .. .................................................. Tract ........... f "rf? .ct _e. ........r....:..-...... . ._....Date Connected ................................. ...................... .... ........... ..................................... .-.......... ' :: }E 1, � / roal ..:....:............ ..... 9.,... ... Date P . ryry F' r .LUMBINC INSPECTOR ' Ill 1/60-500