867�� F:IiO I C � LSC•(/C i LOT NC:_ZX_O
No. STREET
® P FOR PLUMBING PERMIT
❑❑❑❑❑ �fj;�} Q$ (y�{ OF CUPERTINO
DateUI�b� 195— Permit No.
CITY OF CUPERTINO Fee s/�=
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
Own e./4� 2�Address
50E AMARAbA LUM&N Address
Phone 3390 THE ALAMEDA Approve
;.. SANTA CLARA, CALIFORNIA ' LU BING INSPECTOR
TIX�URES NUMBER MAIN DRAIN
UNITS FEES �� IUNITS1 FEES
Water Heater I I/i I Material IV/,
Water, Closets I �'
Bath Tubs I J/ I To Curb
-Showers ! To Prop. Line
Lavatories .4- OF To Existing
Kitchen Sinks I N Conn.
Dish Washers I II
Was`te Disposals
Wasi Trays I STORM DRAINAGE
Washing Machines /,i Size
Water Softeners I Material j
Bar Sinks I I To Main Drain
-Comb. Sink &Traysl I I To Curb
ge—nt a I Units I I�
Drinking Fountains) II
Floor Drains Il WATER SYSTEM
Hoppers I I Size
Restaurant Sinks Material I _
Sand Traps TOTAL ES
Urinals Fixture Fee I -f
Area Drains I Main Drain Fee ?i
Water Leaders II Storm Drain Feer—
Sprinkler Vaives I Water Sys. FeeI /OW
I , Jl Permit Fee-�!f p�
TO'£AL 67)-/ 9' TOTAL FEE -7,
R OR O CTION
Partial Rough
„Rough Complete
Final �, i
Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE}
CITY OF CUPERTINO
ls,-�ewer Connection Sanitary Permit No. ....I---- y.l.......
Plumbing final lumbing Permit No. ._ V..L-
/CC//O
otesw�
Lot N/o/(�J;q.[`�". -...Owner or Tenant ---- ...,._...�+'(e„e..�-O L7[d.-�.V.aiL. ...........
Tract .!----------------- ........ .... ...----....... --
Date Connected - .. .`��4�/- --' -- -- - -- 19
Date Final --------------------- ----�._Z_�:-.:!.:..b----- - - ------- ---”------ 19._.1n0
�f
----- PLUM13ING INSPECTOR
Ill 1/60-500