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869.?• -i , /�4V 7iC ♦ ./N�JF`,r .{..(JZ✓ LOT NO. NO.M. �.5•, I TRHHT ^ ii+ate < r Y �APPLIC�A�TIQN FOR PLUMBING PERMIT Y CIy OF CUPERTINO ,1 Dat e+ , +G .0 TINO195- Permit No. + Fee$y ' Application. is hereby made to the City of Cupertino for a permit to install plumbing i pipes.and/or fixtures listed oh•the reverse side hereof, and agrees to 'install said prices nd%orsfixtures'in accordance with the provisions of the Plumbing Code of the City of L1 ~ Cupertino, and all other laws applicable thereto. � U a of Premises Owner --B9J0E AMARAI PLUMBING, _ Address 3�JpTgq{LTwLA4eeaf� - Phone SANTA CLARA, CALIFORNIA', Approve z ^ � PLUMBING INSPECTOR —TI}SURES I 'NUMBER Il MAIN DRAIN I UNITS I FEES 11 JUNITSI FEES Water.o _I -de 11 Size 9w I • Heuter �y� I n Water.,Closegj: �, -.I,A. 2;f 11 . Material , j B71h'I iub, 'P 1 j 11 II ' To Curb Material TOTAL ES' Showers �- -"•0 17. JOW 11 To Prop. Line Main Drain Fee Lavatories Ilp, •IRV II To Existin I Kitchen Sinks I� J" il Not Conn TOTAL FEE Dish Washers Waste Disposals ...__v T_____ i i u crnoxr nn erwt er=c Hoppers Size '- I_ Restaurant Sinks Sand Traps Material TOTAL ES' Urinals Fixture Fee Area Drains Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Valves I Water Sys. Fee Permit Fee /6i— TOTAL TOTAL FEE 3 • Cupertino 1, nary BUILDING INSPECTOR'S'OFFICE CITY OF CUPERTINO •• ❑Sewer Connection Sanitary Permit No..../..Y�......'..... z ©'Plumbin Final !/) g Plumbing Permit No.......::._.................. Owner or Tenant --- --- At .-��/%�_�/9Y ifi sf%J`�G(� ✓ ,y Tract ...... I-- ------ �yL-��.��J _��< ........�.._ _.v ...._._:.f-...;....... - p - -.-•-_-�_.. •.. _. Date Connected .------------------.._Q./ .. .......:.......---.... 19./ . Date Final --------..._ `.: °.. '� - . , 1 ✓ ---...---- --.. ............--•.....................r'a:'il --------- .......................................................... :. 111 1/60-500 //5LI1MBING INSPECTOR