1538 & \W�o hNn.
No. � er
V1.ol-0
PLUMBING PERMIT
MAY 1g6I9F CUPERTINODate ,.14`;L' Permit No.
CITY Ott CUPERTINO Fee $
Application is hereby made to the.City of Cupertino for a'permit to install plumbing
pipes and/or fixtures listed on th'e 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 A-PARTMEN
• a'err PHILIP-WALOW,'•INC.'" --Address ^ r
ov:'' r-4By 'w, ;..:.•f.. Address
ii 200Cristichd°are°CTO '' r;ncSY
Phgt4"' Approved• �_ _
I PLUMBING INSPFC OR
i 'S Phone 377 5660_ _ O -•.
FIXTURES NUMBF-R 11 AIN DRAIN•`,'.;..��
I UNITS I. FEF.S,II - _ IUNITS I FEE:
Water Heater " ' Size
Water Closets �. 5(,m'��. Material s -r A
Bath Tubs To Curb '-
Showers ' �� �To Prop. Line.' r.
Lavatories - 711 To ExistiQg i1_7
Kitchen Sinks �ot�/ �!" a��� No onn.1,9
Dish Washers
Waste Disposals •�. � -
Wash Trays � ' �� STORM DRAINAGEY..
Washing Machines I Size
Water Softeners Material_ I'
Bar Sinks ', '� � To Main Dram I.
Comb. Sinlrs Trays To Curb
Dental Units
Dtinking,F,ountainsj II LAW_
Floor ICa nsSYSTEM-
Hoppers Size
Restaurant Sinks Material �� ,
Sand Traps TOTAL FEES
Urinals Fixture Fee 1 aysz
Area Drains Main Drain Fee I /;o
Water Leaders Storm Drain Fee
SprinklerValves I Water Sys. Fee /,pe
Permit Fee /9 C
TOTAL 1 �,.Sc�� TOTAL FEE 5�
ORD SPEC ION
Partial Rough
Rough Complet
Final
' Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE'
I CITY OF CUPERTINO
[Sewer Connection • - - ,Sanitary Permit No. .......
Plumbing Final Plumbing Permit No- -----.I....?.. cc.,.
3.....
C� Lo. N J
Owner or Tenant ...--......_— `_ .-.
At ......L.Q. _�..... _. .-.
..
Tract ........................
L '•
Date Connected .--........:.._-.-.._-..--
Date Final .......__...........--- .�--.....-- ---.....--'--- --.... 1 ..�.�.. ,
L ._. . -.... ... ........ ... . .... 19----
4 , .r.. 1
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PLUMBING
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