2480 /
t1)N0VA0PPL11.5
LOT NO.S P.TATIO,N ;wFOR PLUMBING PERMIT
aD3 'CITY OF CUPERTINO
�
' 0 ,f� Sanitary No. p,
3 a Date���Y-/ DPERT`,196 Permit No-':22 �4 o
Pee $
' ° Application is hereby made to the City of Cupertino for a permit to nstall plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
z N and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
w Cupertino, and all other laws licable thereto.
0 0 i,�seof Prefnises
Addes
3 Owner3a rsv
oa
o By--)/ �����' /� Address �� �oJlril
— Phone _
W z
s State License Approved
yr O vLUM : VS C ' A
J 0
FIXTURES NU, BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater $ize N
Wate; Closets gg on Material
Bath Tubs if qoo To Curb
Showers - To Prop. Line
Lavatories g60 To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
'seater Softeners Material
ria, Sinks To Main DraX
Comb. Sink s Trays To Curb
'.Dental Units
,Drinking Fountains
Floor Drains Iq Q0 WATER SYSTEM 1
' Hoppers Size I" 4
Restaurant Sinks Material Co ri
San T�— TOTAL FEES
Urinals Fixture Fee I 3200
I Area Drams Main Drain Fee �p0
IXrater Leaders Storm Drain Fee
Sprinkler Vaives Water Sys. Fee I QQ
Permit Fee
TOTAL 32.V0 TOTAL FEE ,QQ
RECORD OF INS 1
Underground Rough.//-,7-
,Partial
ough.. _ 3
.Partial Rough-
$ough Complete-
Main Drain 42
Final... - 1 - (. / .0--.�•.
DITIONAL CHARGE
c I CUPERTINO
2 1964-D SPECTOR'S OFFICE
Date
-1?91(' lPermit No. 2
q(�� 4.;
- - KFCUPPTi��, - .....
.......... --------------------------------- - ------- ---- ........
Address'--- ..........
Reason -----------W— .. .... L..............
v
C-1-14 011
.. ..........
C--oe---------- ....... ............... .... ........................
Amount$ Signed -n,
. ... .. .. ... ....... .
106 3/59-300 N L