1589 LOT NO.—
NO.
O.
DN R PLUMBING PERMIT
4 JUN 2 0 19 C CUPERTINO
62 7.
Date 19ea L Permit No.
QTY OF CUPERTINO Fee$ 3s�
71 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.
P Use of Premises 3 Fdhr;l✓ Glrli tc
:a
_v
m OwnerAddress
in
By Address a
CONTRACTOR, AGENT
Phon Approve
PLUMBING INSPECT
-I URES UMBER M I AIR
UNITS l FEES I UUNITSI FEES
Water Heater Size
ate, Closets 1 3 Material Lr J4
Bath Tubs I 3 To Curb j
Showers To Prop. Liner-
Lavatories 3 o Exist' j
Kitchen Sinks j 3 jj Not Conn. 2b
Dish Washers j j jBEw 7
Waste Disposals j
Wash Trays• j 11 STORM DRAINAGE
Washing Machines ze j
Water Softeners Material j
Bar sSinkj �j To Main Drain j
'-Comb,-.Sink a Trays To Curb
Drink) Units
Drinking Fountains) j '�I
Floor Drains WATER SYSTEM
Hoppers j j Size
Restaurant Sinks Material /y j
Sand Traps TOTAL FEES
Urinals j
r Area Drains Main Drain Fee j
Water Leaders j Storm Drain Fee
Sprinkler Valves j j j Water Sys. Fee j ' AO
Permit Pee j J44
TOTAL �— � ij� TOTAL PEE
$RERD' F INSP TION
Partial RoughRough Completr
Final
Bldg. Dept.
1 , - Office Copy
BUILDING, INSPECTOR'S OFFICE
CITY OF CUPERTINO t
Q1 Sewer Connection - Sanitary Permit No. �.0. z......
0,,Km"bing Final Plumbing Permit No.
No. ........-�..0.......
Owner or Tenant .............. ..... .................
At ................. :-Li...tz,. ............ :...--....-....
Tract ..--........................:........ . ...-_-.`:'... .-
Date Connected .............
................ ....)-J.S--/-..(...-......---.-.......------.-............-_ 19..�.i --'--�
DateFinal ............................................1.- -�.. ._ .. -----
..:... . ........... 19-. L...
.................... .. ....... .. .. . .. . ..
PLUMBING INSPECT R
111 7/61-5o0 ., .,.-•., .