Loading...
2757 /✓" LOT NO. NO. STREET PL ON FOR -PLUMBING PERMIT Z l®rp swop �jW tY OF CUYERTINO Sanitar No.° JUN 16 1964 Y ��,s y o a Date , 196_ Permit No 3 �D, ao w LL Fee $ = 04 oFtYYtPSflIR4MO cat is e 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 In Cupertino, and all othc,,jaws applicable thereto. w x < r o 0 Use of Premises 00 > m 3 OwnerAddress z.J /> z By1+1Z�,'1sr,Qr,- / � S'anrS Add rens'lUA,t7ntA� 4,01'1241' ? CONTRACTOR,AGENT 3 � - m�Phone 7Z 3— r�/,f/ w Z L tate License 7�y� Approved -0 PLUMBING INSPECTOR FIX RBER MAIN DRAIN UNITS FEES UNITS FEES Water Heatt uo Size Water Closets •v0 Material Bath Tubs To Curb Showers 77FiT To Prop. Line Lavytories AV, .2•CIO To Existing Kitchen Sinks 1,oo Not Conn. Dish Washers Sewer Boxes Waste Disposals TXK Trays STORM DRAINAGE Washing Machines Size V " Water Softeners Material G-R, Bar Sinks To Main Drain Comb. Sink s Trays To Curb Dental Units . Drinking Fountains dv Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee J, rea Drains Main Drain Fee ,db Water Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee 11010 ,Vu Permit Fee U'V TOTAL 1310`011TOTAL FEE 1111 RECORD OF INSPECTION Underground Rough... Partial Rough. Rough. Compl :Hain Drain Final...