870 '.�0� / /rI �AL��'� .`�. L/a..✓'S LOT NO.
STREET
re ?+ APPLICA Q'N FOR PLUMBING PERMIT
12 160 'C TY OF CUPERTINO
"l Date 1_111e_ 195_ Permit No.
n TINO Fee $ ,2
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 ereto.
i 8 Use of Premises
G
h Owner ' Address
B10 AMARAL PLUMBING, I
Address
3340NIR QTDAM&C*T
Phone SANTA CLARA, CALIFORNIA — Approve
„� PLUMBING INSPECTOR
I rUREfS NUMBER, MAIN DR IN
UNITS I FEESy1; - �UNITS� FEES
Water Heater s. oil, Size i.i-
Water Closets¢j,'fl Material JI j
Bath Tub's To Curb
Showers ' �"' j dt To Prop. Line
To Em
j
.Kitchen Sinks j/ �� No oon.
Dish Washers
Waste Disposals
Xyash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar-Sinks To Main Drain
Comb. Sink a Tra,sl j Ii To Curb
Dental Units j 1 jl
Drinking Fountains �I
Floor Drains j WATER SYSTEM _
Hoppers �j Size r j_
Restaurant Sinks j j j Material "
Sand Traps' j �j TOTAL ES
Urinals 11 Fixture Fee
Area Drains j �� Main Drain Fee
Water Leaders �� Storm Drain Fee
Sprinkler Vanes j j jj Water Sys. Fee
Permit Fee �—
TOTAL TOTAL FEE
R CORD OF 'ISPEGTION
Partial Rough
,Rough Complete
Final r 30
1
i
J +" Cupertino Sanitary
�Pffice Copy
BUILDING INSPECTOR'S OFFICE'
CITY OF CUPERTINO
n Sewer Connection Sanitary PermitNo. .... .(�L!�}!,92Y---
[P" Plumbing Final Plumbing Permit No. .....d..76 -
// ..
Lot No. ----1
Owner or Tenant . �.�..C,Jti J_ e ---iCQ� ... -
At ... .
Tract ........... - cv. _......l..e .
q�
Date Connected ..........................lt.bd ...` ............... ------..... 19.�RrQ.
Date Final .............................,/,,/.pv......_.._... ............, 196/-
.'...------..._.._...--
-� /yLUMBING INSPECTOR a
111 1/60-500 C/