1540 y
LOT NO.I13
NO. STREET
Ef
FbIt PLUMBING PERMIT
CITE UPERTINO
AY11 1962 t'
+
Date c1.1� I - Permit No.
CITY 0 CUPERTINO Fee $_a 7 s
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 ofsthe:Plumbing,Code of the City of
Cupertino, and all other laws applicable thereto.:
8 Use 6f. Premises APARTMENT
a 11
Owner PHILIP RAFALOW, INC, Address
2-1 ( �
' AddressBye
200 Cristich IeTEAr' RAGENT
y1
p} IPphell; California Y1bbb Approved
Phone 3775660 PL MBING IN E OR
FIXTURES NUMBER I MAIN DRAIN
UNITS I FEES 11 JUNITS1 FEE!
Water Heater Size
Water Closets Material C, r:
Bath Tubs S!°.�� To Curb :
Showers To Prop. Line �`�""5
Lavatories 11-7I To Existing
Kitchen Sinks
Dish Washers
Waste Disposals
Wash Trays �� �� S"CORM DRAINAGE
Washing Machines I I 'I
Water Softeners t 11 ,Material ]
Bar Sinks II To Main Drain I I
Comb. Sink &.T.raysl 1 11 To Curb
Dental Units. 4 • �
Drinking.Fountains
r`oor Drains - - '- WATER SYSTEM ' I
Hoppers - Size
Restaurant.Sinks Material�y-o N . .
Sand Traps t - TOTAL FEES
,Urinals Fixture Fee /�I,SC
Area Drains Main Drain Fee 1,eo
Water Leaders Storm Drain Fee
Sprinkler'Vaives I II Water Sys. Fee °Z
Permit Fee u1�
TOTALx3 11 TOTAL FEE,
R CO O MON ;
Partial Rough 1' -
Rough C let
Final '�
Bldg. Dept.
'Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
i ❑ Sewer Connection .Sanitary Permit No. .< .'..
i
umbing Final. Plumbing Permit No- ---- .. .��
Owner or Tenant ------ ..'. .4.,.✓Lr9.V� ...---... (�
Tract f
� .�
Date Connected . .... .-.4 y.Y._...
.
.. ....--- ----- - �l
Date Final .._ .. .........
... - -
.............. ..........
-- -Y.
PLUMBING IN E
.111 7/61-500