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1595 . . Qr �✓ �E7¢C�� Y�'C L Lr r N l� NO. STREET - - V09WRIMFOR PLUMBING PERMIT OF CUPERTINO JUN 20 1962 Date I 1 R 10j62- . t��, 195_ Permit No' /y7 (� CITY OF CUPERTINO 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 Cupertino, and all other laws applicable thereto. "d8 Use of Premises :7 Owner '\ L � /7�Aw6Addre 4N 'y �� AddresstRCONTRACTOR, AGENTPhone ��L 8' Approved PLUM FIXTURES I NUMBER 11 MAIN DRAIN I UNITS I FEES 11 JUNITSI FEEs Water heater II Size ll. Water Closets I Material Bath Tubs To Curb Showers I To Prop. Line Lavatories To Existing Kitchen Sinks / I No on Dish Washers Waste Disposals Wash Trays II STORM DRAINAGE Washing Machines Size -Water Softeners I Material Bac Sinks.,. II To Main Drain'I I Comb. Sink a Trays) To Curb Dental Units Drinking Fountains) I II Floor Drains WATER SYSTEM Hoppers I I I Size —(3��1--- Restaurant Sinks II Material Sand Traps TOTAL FEES Urinals I I Fixture Fee I �' Area Drains I Main Drain Fee ( �p Water Leaders I Storm Drain Fee I Sprinkler Varves I II Water Sys. Fee I / - 06 _ I II Permit Fee I / QO TOTAL TOTAL FEE RE O D OF ION Partial Roug� .� Rough Complet Final Bldg. Dept. Offi<e.Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO ❑ Sewer Connection ✓�//"'// Sanitary Permit No ------�v&-,......... ZYPI'umbing Final Plumbing Permit.No. ' • ' Lot No. .....9.5.-___....... Owner of Tenant ... .. ........... -... .. ----... ......... .,....- ' •� (a.At --- _ Trail .,,. _. DateConnected ......--........... . . . . _1 G ------------------ ------ 19 Date Pinal"'-=--------------------------------- _�..f l-..----.........----- .. 19--G. ........ - - PLUMBING INSPECTOR 111 7/61-500 "