1493 I
T NO.
• NO. STREET -
® Mip�, l IT ' FOR PLUMBING PERMIT p
I '„ OF CUPERTINO / 5
'M 1 p62 U t'
Date 9�Y Permit No._-AX;r
I
^�I CITY OF CUPERTINtQ Fee $ ,7ZApplication Is hereby made to 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
i Cupertino, and all other laws applicable t ere to.
.-8," APARTMENT.Use of Premises J
�.Ott:{ 3. ? '7.�.v.
Owner PHILIP RAFALOW, INC.. Address
ne . y AddressBy Approve
e r California
PLUMBING INSPECTOR
Phone VM66 �
FIXTURES NUMBER 11 MAIN DRAIN
UNITS FEES UNITSFEES
Water Heater / /�-`� Sae
Water Closets Material
Bath Tubs ! �/ To Curb
Showers - �� To Prop. Line
Lavatories , 1 4i5:jj. To Existing 1. 1 .
Kitchen-Sinks ,r� h�=�� Not Goran.
Dish Washers
Waste.Disposals
Wash Trays STORM DRAINAGE
Washing Machines
Water Softeners
Bar Sinks y:{� To Main Drain
Comb. Sink &Trays To Curb �_: it .
Dental Units n �_
Drinking.Fountains
Floor Drains WATER SYSTEM".
Hoppers I jjg.Size
Restaurant Sinks jj�.t'vfatctial Gq�r/I ,
.Sand Traps 11 TOTAL FEES.
Urinals _ 11 Fixture Fee � .2-1'):R
Area Drains . -�Jj Main Drain Fee r/60
Water Leaders 'Storm Drain Fee •fix,
Sprinkler Vaives :`I Water
acucrV ,� ,2,0jjnP,ermit Fee «� 00
TOTAL TOTAL FEE 2 :5�
0 C ..
Partial Rough
ti.:..:
Rough Cor e e .�': A:: z..+