Loading...
828 LOT NO. NO. STREET Z _ �yLV 9Ir ION FOR PLUMBING PERMIT 1 CITY OF CUPERTINO JUO Date/� 191-6.0Permit No. y CITY OF. CUPEKDNO Fee $ 4So 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 allothher laws applicable thereto. Use of Premises %. a2� •a" �.. Address .4 d �oZd 7. - By Address CO CTOR, AGENT .tl� .� PhonQApprove PLUMBING INSPECTOR —FI--XTURES NUMBER MAIN DRAIN UNITSFEES UNITSFEES Water HeaterI I! Slze Water Closets terial Bath Tubs I jj J1 To Curb Showers , 11 To Prop. Line Lavatories '1..7ToTo Existing Kitchen Sinks Not Conn. Dish Washers Waste Disposals Wash Trays IISTSTORM DRAINAGE Washing Machines �� 11 Size Water Softeners 11 Material Bar Sinks 11 To Main Drain k'r Comb. Sink &Traysl 1 11 To Curb •�;' Dental Units Drinking Fountains I ' I� Floor Drains 1 1, 11 WATER SYSTEM Hoppers 1 1 ' 11 Size Restaurant Sinks 1' 11 Material Sand Traps 1 11 TOTAL FEES Urinals 1; Fixture Fee Area Drains Main Drain Fee .% Water Leaders Storm Drain Fee Sprinkler Valves ' Ij Water Sys. Fee 11 Permit Fee TOTAL 11 TOTAL FEE RECORD OF INSPECTION Partial Rough Ro gh Complete _