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882 a/✓,e LOT NO. 7BF� 1 . l �BAN FOR PLUMBING PERMIT T (CITY OF CUPERTINO DITYAN �UFNTIN� 195_ Permit No. 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 4 Cupertino, and all other laws appli ble thereto. a u Use of Premises :a v `" Owner � ddress IN 'Address a 89oC ' .�AQ%DWENT A Phone JfiAu*A [t. LIFORNIA _ pPIOVe • PLOMBING INSPECTOR CIXEURES NUMBER MAIN DRAIN UNITS FEES IUNITS I FEES Water Nater Size f!�/ Water Closets Material Bath Tubs To Curb Showers' II To Prop. Line Lavatories o Existing Kitchen Sinks Not oov Dish Washers SEWER © CES Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink,&Traysj To Curb Dental Units IIlr' - Drinking Fountains) 1 II Floor Drains II WATER SYSTEM Hoppers IL Size Restaurant Sinks 11 Material Sand Traps 11 TOTA EES Urinals Fixture Fee Area Drains Main Drain Fee Water Leaders Storm Drain Fee I Sprinkler Valves II Water Sys. Fee I/ Permit Fee TOTAL 9 :�l TOTAL RECORD OF INS_P4CTION Partial Rough 1— Rough Complete Fi j' Cupertino Sanitary Offke Copy ' BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO //aa ❑ Sewer Connection Sanitary Permit No. .../. �!" 4 ....... (� Plumbing Final Plumbing Permit No. .....z!...(!---- .......- _---� d Lot No.. ...../..'J�.-7:. Owner or Tenant . �.t/7? ..... At ... ------ Tract ----.... ... pp��.f..�Q----.....:._...._._._..---...--------..../...... Date Connected -----------------------------X.. - ..__........: -- ...._.. -- .- 19... Date Final --------------------------{ �J 19. ._.... :--.........----......-.--_---------------------`-- ........................... ............ -. 111 1/60-500 !//PLUMBING INSPECTOR