874 I M i✓ I � G/�i✓zw LOT NO.�Y/ l
�
✓. �No SfRRET_ -
;a APPLIC N, FOR PLUMBING PERMIT
TY OF CUPERTINO
•D,ate` nn�.�,' Tial 195_ Permit No.�
AUG iFIV
Fee $�1' OQ—
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a� Cupertino, and all other laws appliy ble thereto.
VUse of Premises
a
Owner x / Add/
g;OE AMARAL PLUMBI
Addre4��
Phone
SANTA LA •4ke16�apin Appro
PLUMBING INSPECTOR
aS
FIXTURES NUM$ER i(„ MAIN DR TN
I UNITS 14 I`EES 11Z.1 JUNIT51 FEES'
Water Heaecr J." 11 -Size qf,*. I :.'•, I .
Water Closets jj:,,,�Material f" I
Bith Tub To Curb
Showers
':Jl To.Prop. Line
J1 Tot
xisi�
E - A.
Co
e "i %11 or' I
h s'
Waste Disposals) Im I L-' �1
Wash Trays Wj4 Jr. 11 STORM DRAINAGE
VV,�h�ng Machines I. TF Size
:Waf-erSofteners Material
Bar Sinks To Main Drain
Comb. Sink &Trays To Curb
rDental Units
fDrinking Fountainsl I II
�Floor rains WATER SYSTEM
Hoppers Size
i'Restaurant Sinks Material
�Sand Traps TOTAL ES
'-Urinals Fixture Fee 19,
I.Area Drains Main Drain Fee 1 1,iW
1,Water Leaders Storm Drain Fee I
Spnnkler-Vaives Water Sys. Fee 1/49)0-
TOTAL
Fee
.TOTAL,, 1 40' 1 VEE 1,W
Partial Rgmplete,
Final
R CORD qF,4N_�P"CTION
Rough 5
na
Cupertino Sanitary
ti-�• �frt' .:.`tOfficm CoPY
BUILDING INSPECTORS
CITY OF CUPERTINO
^�* Sewer Connection Sanitary Permit No.'r.'_!t..lV.� VV
�- -Plumbing Final Plumbing Permit,-No:,....... ..............
j Lot
S /?/CJ ✓J
..., .� Owner o Tenant -- -....n�----�--�-- ._.......-- �------�-------....--�- - - ,.as
d�7y
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. : At . -------------
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t Date Connected :_.....-------.------- - .......................:_. 19. ' '
1
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Date'Pinal .........
'90_
:: 19 '
LL•UMl31NG NSPEC"1'02 '»?S' : '
111 '1/60-500