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2607 //09 Ira pabma Brivi LOT NO. / PTR LETJ APPLICATION' FOR PLUMBING PERMIT FEB 281964 lc6Y OF CUPERTINO Dat21T\�-fInCDT^�a 195_ Permit No. vU v I��f—M-11Ids t. Fee $ /J 0 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 Residence .4 Owner_ ward Crump ! AddresPO Box 634 Cupertino By Crowley Co Address 855 ckson Mtn View CONTRACTOR, AGENT lYl Phone Approved &/r PLUMBING INSPECTOK IXIURES I NUMBER M IN DRAIN I UNITS I FEES II IUNITSI FEES Water Heater � � � � S12e +i 1 12.00 Water Closets y Material Gt Bath Tubs To Curb Showers To Prop. Line Lavatories 3 �� To Existin Kitchen Sinks �� N t Coon _ Dish Washers Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks �� To Main Drain Cgmb. Sink & Traysl To Curb Dental Units I Deinking Fountains � II Floor Drains WATER SYSTEM Hoppers Size f// I I_ Restaurant Sinks Material 1 1/100 Sand Traps TOTAL FEES Urinals Fixture Fee 0i0,0 Area Drains Main Dram Fee Water Leaders Storm Drain Fee Sprinkler Valves I Water Sys. Fee �, OO Permit Fee 2,00 TOTAL 1 /0 /rOTAL FEE /g!p.0 RE OR OF INS CTION Partial Rough �7, Rough Complete 2R — Final — j