1590 /,o// / I LOT NO. 1/
.
No.®.rj � HT •. R PLUMBING PERMIT
JUN 20 1962 CUPERTINO
Daze , 1963. Permit No. 'CIT
Y OF CUPERTINO Fee
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 accordane with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
8 Use of Premises J Fass."�/✓ �,�{1t CS'
i
N Own ) J7 Address
By Address l
coxrnwcrox, ncENT
Phonef —d Z Approve —
PLOMHING INSPECT
IX URE —I3UMBI:R MAI DRAIN
I UNITS FEES IUNITSI FEES
Water Heater I Size r
Water Closets I Material (2,)
Bath Tubs 3 To Curb
Showers To Prop. Line%
Lavatories To Existin
Kitchen Sinks �_3 N Conn _ Z
Dish Washers _� JISEWER BOX S
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines ac
Water Softeners Material
Bar Sinks l l 11 To Main Drain
Comb. Sink a Traysl To Curb
Drink) Units.;
Drinking Fountains l _
Floor Drains WATER SYSTEM
Hoppers
Restaurant Sinks �_ Material
Sand Traps T TAL FEES
Urinals I_ Fixture Fee
rea Drains l ll Main Draih Fee
A
Water Leaders Storm Drain Fee
Sprinkler Valves l Water Sys. Fee I I --
Permit Fee
TOTAL -ll TOTAL FEE ��as
It ORO' ' CTION
Partial Rough
Rough Complet
Final _�' 'y
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
zer Connection Sanitary Permit No.
I ........................
Fl"Irlumbing Final Plumbing Permit No. ........PZ9.)1b..
LotNo. .........1.1...............
Owner or Tenant ............................
At ................1. O.
.. ....... .... . ..... ......... . .. ..................................
Tract .......... --------- 9
Date Connected ....... . ........... .. .....\
DateFinal ......................................... .. ..... .. . ........... 19...
....................IG..... ... ..-................... -------
PLUMBING INSPECT
1111 7/61-500