1593LOT 'NO. /
NO. STREET '
h'1 cF?iQgjr-0R PLUMBING PERMIT
FYIUOIF
® 7� OF CUPERTINO
Date '41962 1941 Permit No. IS -9Z
CUPERTINO Fee $ a '0
Application is hereby made to the City of Cupertino for a 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.
Use of Premises 3 / 5t% %t/ llh I7c
Address
Address
Approv` !
PLUMBING INSPECTOR
I URI 5NUMMR
M IN -DR I
UNITS FRES
ES
Warar
Size j! -
Water ClosetsMaterial
Close
C,9,
Bath Tubs I
3
I To Curb
Showers
Lavatories
Kitchen Sinks I
3 I
To Prop. Lineyl'
To II .
Not onn. p -94 -
Dish Washers I
SEWER -SOX"/
Waste Disposals
II
I I
!/ash Trays I
I
STORM DRAINAGE
Washing Machines I
II
Slze
Watet Softeners
Material
Bar Sinks
I To Main llrain
Comb. Sink s Traysl
I
II To- Curb _, I_
Dental Units
_AMML�
Drinkfq Fountains)
I11
Floor Drains
I
II1 WATER SYSTEM
Hoppers I
SIL
Restaurant Sinks
Material
Sand Traps I
' Urinals
I TOTAL FEES
Fixture Fee p
Arca D�r-,,nsq
Main Draib Fee
Water Leaders I
II Storm Drain Fee
Sprinkler Vztves I
I
II Water Sys. Fee
e M
I Permit Fee 1 00
TOTAL
TOTAL FEE S
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO ��pp
Sewer Connection Sanitary Permit No.. R;; . .1..........
lumbing Final Plumbing Permit No....l..Iq 3.......
Q
Lot No .............t................
.. J ^^ V
Owner or Tenant ........... .------.. .. .... ...�..4
At --------------- y
Tract ......................... v
Date Connected...... v._'._..�..Y.........../^-�- .................... 19..!s Ay/
Date Final ......................................,' .. ..JIF ------------------ . 19..(..:Y
�.
PLUMBING
111 7/61-500