742 m: i( O LOT NO.
3 N �{iSTREE ,� ♦L f�
APPLICATION FOR PLUMBING PERMIT
dMAY E6 19600 CITY OF CUPERTINO 1
j Date 1960 Permit.N. ^f7 7oZ &
...4� CI IY Ut UUPERT ,
Application is hereby made to the City of Cuperti;'no`foi a permit to install plumbing
pipes and/or fixtures listed on the reverse side hetzof--;:and agrees'.to install said prices
F and/or fixtures in accordance with the.provisions ofthe Plumbing'�Code'of the City of
Cupertino, and all other laws applicable thereto. 1
Use-*of Premises
By di Amaral Plumbing; Inc.' Address
CONTRACTOR, AGENTF
Phone /5 ti,l 39 1 Approved
f PLUMBINGTINS'i�CTOR (//1:21 V
Y.i
FIXTURES NUMBER MAI DR IN
I UNITS I FEES IUNITS I FEES
Water Heater I IJ II Size - 'y
Water Closets 2 Material C/•
Bath Tubs To Curb
Showers d° h .41AI To Prop. Liney
Lavatories To Existin
.Kitchen Sinks / Oi I No Co
Dish WashersI I" SEWER Box I
Waste Disposals II I. I
WasE��Trays I STORM DRAINAGE
Was Ring Machines Size
Water Softeners Material'
Bar Sinks I To Main.Drain I - I
Comb. Sink s Trays I To Curb I _
Dental Units
Dunking Fountains)
,Floor Drains I I I WATER SYSTEM
Hoppers II Size I I
Restaurant Sinks I -L Material Iqp4fo
Sand Traps TOTAL ES
Urinals >.I;;' 'xture Fee
,Area Drains I ;;I;i'_•" I Main DI Fee
:Water Leaders 'I I Storm Drain Fee
Sprinkler Varves I II Water Sys. Fee
;+ I Permit Fee I wa
JOTAILAW.j I TOTAL FEE
RECO D OF S
RoP TION
:Partial ugh
Rough :,mplete 17
.
Final
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