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893 � l r'ch 3 o L`ctoe -� h e LOT NO. 57REET 1 0 1(1 ION FOR PLUMBING PERMITV CITY OF CUPERTINOAUG 2 1950 9� 3 IT l at Z"% _' 1954--0 Permit No. UPERTINO Fees as rn Application is hereby made to the City of Cupertino-for a permit to install plumbing pipes and/or 5xhues 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 allo er laws applicable thereto. 8 Use of Premises 'a 2 Own g{ . OAA?-� jAppr By_�+ CONTRACTOR, AGEJ.Whone a ' /90 � vu B GIN E oR/ w . i UMB:R MAIN DRAW UNITS FEES 11 UNITS1 FEES Water Heater /" 11 Size Water CCosets -3 o o ll Material Bath Tubs /" 11 To Curb Showers I /o-o ��; To Prop. Line Lavatories i4 ./ p �� To Existin Kitchen Sinks 1 l go No Conn. Dish Washers 1 o—o SEw w-Bo) e Waste.Disposals 1 /, 0-0 Wash Trays STORM DRAINAGE Washing Machines Size Size Water Softeners �� Material I Bar Sinks To Main Drain Comb. Sink &Traysl 1 11 To Curb Dental Units Drinking Fountains) Floor Drains WATER SYSTEM Hoppers Restaurant Sinks Material c4f-�I� Sand Traps TOTAL Ynb Urinals Fixture Pee Yi Area Drains Main Drain Fee / B-p Water Leaders Storm Drain Fee Sprinkler Vaives Water Sys. Fee /oU �1•L1�� Permit Fee /br) TOTAL Ib,yi�� 7-0—TX r FEE .7 R CORPOF INSPECTION Part;;,Rnugh Rough Coln Ieted ! , r ;Final �� lj -2- Cupertino Sanit BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Sewer Connection Sanitary Permit No. ................................ Plumbing Final . Plumbing Permit No. ... �>qs 4jr.../................... Lot No. .....12. ................ Owner or Tenant .............................. .................................. . .................. Tract ............ ..... . ..(,ice`......� ..... .......................................................................... DateConnected ................................ ----- --------------------- ...................... 196-0.. Date Final ................................... ... ... -61. ... ............. .............................................. I9 ... .. . ........................................... 111 1160-500 UMBING INSPECTOR