1494 NO. STREET '
® IIION FOR PLUMBING PERMIT e
r"nnTOF CUPERTINO /
IM
Date1-0-mg/ 95_ Permit No. f p/ J4—
b� ,J
C Fee $ •�7
App,itslio,Q hef'w"P LtJNDcity',.Of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the-reverse side hereof, and agrees4o install said prices
and/or fixtures in accordance with the provisions of the PKQm n'g'Code of the,City of
Cupertino, and all other laws applicable thereto.'_";
Use of Premises
v APARTMENT"
v ; PMLIP(RAFALOW, INC. 7a 7 Qty a%2�c. %a'r
.Owner Address �q )
aune in , nC.�" _ Address '.k.`
GBy' U CristichpgasCroa, ncaxr. _s,;"
1/ ph^ npbell, California _ .,Approved
Phone 377-56 0 PLOoMIBI'Nc-ii4SPE"Cb }1,Y,N`:
SURES NUMBER MAIN:DRA _,, K;,: •:
UNITS I FEES I'UNITSIFEES
Water Heater Size
Water Closets. Material
Bath Tubs .. t�!°SII •Ta Curb
Showers 11 ,To 'Prop. Line; I°
Lavatories To Existing
Kitchen Sinks N.
Dish Washers
Waste Disposals
Wash Trays JNAGE e
Washing Machines I °- I '•Si'zez__�,rij+,•^ I ,x,_„I
Water Softeners 11 Material I 1
Bar Sinks J.••T&Main.Drain
Comb. Sink &Trays To Curb ly” 4
Dental Units
Drinking-Fountains -
Floor Drains WATER SYSTEM' j ;
Hoppers.
Restaurant Sinks ��^ Material GQ w I.
Sand Traps I TOTAL FEES'
FixtureFeUrinals �
y
Area Drains Main Drain Fee I - /„00
Water Leaders _� _Storm Drain Fee I'; ;:',i;e
Sprinkler Varves I Water Sys. Fee
pcun/ SU I1 Permit-Fee.
TOTAL TOTAL FEE „5=
° E
s✓ � �
Partial R ugh '•��^ "" •.'�•
was«r... `
Rough C..nplet r=9>?z;.'f
Final J
/ ..