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LOT NO,
NO. STREET
RR 0*2TIGN FOR PLUMBING PERMIT
z E QY-OFCUPERTlNO
sanitary Nn.3oa� Date ' _ Permit No
= LL 1 d�tCl Pee $
0 P IApplic iy�t�relu,� � t ty of Cupertino for aermit to install plumbing
`o Pipes �' fi�44es fftY's e on the reverse side hereof, and agrees to install said rices
i and/or�xtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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j LL Use of Pre
00 n
3 Owner r ` Address
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- O By CONTRACTOR, AGENT Address
3 `m Phone o2,5—Q? —..ID 0 s8
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a o State License Approvc(d'Cl/� 7=�/✓
U PLUMBING INSPECTOR
1
ilix I URESNUMBER
UNITS FEES UNITS FEES
`.Cuter Heate Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
`(Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sinks Trays To Curb
Dental Units
Drinking Fountains Id
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks1 77
Material
San Traps TOTAL FEES
Urinals Fixture Fee o-u
Area Drains Main Drain Fee
ZC/ater Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee 2 UK::--
TOT A-L
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Alain Drain
Final
0,0/' ar.- LOT NO. z/7
NO. STR F1'
I FOR PLUMBING PERMIT 7
N Q
wz
I OF CUPLRTINO
r ,FEB 8 1966 Sanitary No.
R �` .S//tom
o � Date 196— Permit No
a
LL C,T�' QF QUP)VTg Fee $
' 0 App ica ion a here y Ina c to t to City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r- and/or fixtures in accordance with the provisions of the Plumbing Code of the City Of
a w Cupertino, and all other laws applicable thereto.
w x
0 4 Use of Premises
SfP. !/. oe
00
3 Owner AWA4-V-ClWdress
O <
z J
z By Address 15
O CONTR C OR, AGENT
3Q
- 0 Phone `7G/-
w z
tt a 'd A7
Q(o] State License Approved
I PLUMBING INSPECTOR /
— F1X'I URES NUMBER
UNITS FEES UNITS FEES
Water Heate / Size
Water Closets j Material e.7.
Hath Tubs / To Curb
Showers To Prop. Line
Lavatories 3 To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Har Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks MaterialCA4
San Traps TOTAL FEES
Urinals Fixture Fee
Arca Drains Main Drain Fee 00
�K/ A.
ater Leaders Storm Drain Fee
7-prinklcr Valves Water Sys. Fee
Permit Fee OW
TOTAL jp TOTAL FEE d°
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
'Iain Drain
Final .
LOT NO.
NO. STREEI'
PLt TION FOR PLUMBING PERMIT
TY OF CUPERTINO
wz 111 _ _
o �A t 66 Sanitary No. ,(
0 ' Uare 1965¢ Permit No
3 `
U
° CV'111�1icg/ n i�'�} �the City of Cupertino for a permit to install plumbing I
`o pipes and/or fixtures isted on le reverse side hereof, and agrees to install said prices
i N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
LL Use of Premises
00
> 0 ` �sr zrs�u/' Q
o a Owner i Address
Addresses 3S�
3 F CONTRACTOR,AGE
— m Phone �o t��
ww
a UU0 State License �5 -3 3 u 3 Approee
�� PLUMBING INSPECTOR ✓
I. R .s NIJ, BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wasli Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink-,, Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
MLeaders
TOTAL FEES
Fixture FeeO
MainDrain FeeStorm Drain Fee
Water Sys. Fee / , Gf�Permit FeeTOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final