878 33,2p LOT NO.EET
J /
APPA c N FOR PLUMBING PERMIT
(AUG, 12''�JuO IITY OF CUPEMNO
, h I c 195— Permit No.
U►-C Fee$
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 appl' able thereto.
v
Use of Premises
.4
Owner dr..UG�'�ti
glfJE AMARAL PLUMBING, INC. _ Address
33@®NTi4 &I,#,
Phone .SANTA;CLARA, CALIFORNIA _ Approve2
PLUMBING INSPECTOR
SURES NUMBER . MAIN DRAIN
UNITS FEES IUNITS FEES
Water Heater 1 I / I Size ff
Water Closets y �JjV 'Material �1
Bath Tv s To Curb
' Showers To Prop. Line (/
Kitchen Sinks Not(Unl.
Dish .Washers I
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size : .
Water Soe
ftners II Material
Bar Sinks To Main Drain -
Comb. Sink& Traysl 1 11 To Curb
Dental Units
Drinking Fountains) II
Floor Drains II WATER SYSTEM
Hoppers Size _
Restaurant Sinks erial
Sand Traps 11 TOTAL $ E� S
Urinals Fixture Fee
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Valves II Wafer Sys. Fee /
Permit Fee
TOTAL GJ TOTAL FEE
.'
/0
RE OR OFI
Partial RoAgION Rough Co
Final
Ct rtino,.Sanitary
✓' �`M,40 Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ....:........�.y....... ..........
(gPlumbing Final Plumbing Permit No. ._(�.l.-. e... . ..
- ------Lot No f�. --------
Owner or Tenant ....4 _ � L` e'U---l �t�4�f10,,.��«{..
At ../o.�,.�.�.. ZGfi--f�S.v . ...
_ -
Tract ........%�--'�ir - - ----- ._.p._-/-................ .. _ _ .. ..-.1..................--- ----------.......
Date Connected ................. --- ------------------ 19-`
Date Final ---------------- -
- ---... ::}..../�2. i2....---"--- --- --
--........: ....`. --- ------
CL'1!UMBING INSPf:CCOR"„���-
1t1 1/(0-500