1289 I� 0a 1 1 CAVA ` 1L�'VE LOT NO. 7
NO. ' s
V
' PL FOR PLUMBING PERMIT-
OCT 3 1961 OF CUPERTINO
Date , 195_ Permit No. �r9CQ 9
L`
Fees /7-0
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: y
W s{.
8 Use of Premises
"' / ;.
n Owner/l i Pl/ Ey /7d/l��5 J pd"dress`f VO C/TM jK�J(��
- ,_,.
By L I a1)� 'f'�'ddress %dQ` JR 1
CONTRACTOR, AGENT
(Fhone C L .A0 ; ?APprove
•'t� 'O I ?'� NBING INSPECTOR
S' .
LIXTURESNUMBER •MAIN DRAIN
UNITS FEES a UNITS FEES
Water Heater Size
Water Closets II Material J.,�,i .- IGTI
Bath Tub:: To Curb,
Showers - 11 To Prop Line �.
Lavatories To Existing' .
Kitchen Sinks �� No Co /.
Dish Washers 5 - •1
Waste Disposals
Wash Trays I II .STORM DRAINAGE
Washing Machines / IIS Size % ,;i
Water.Softeners Material _.'! • I..
Bar Sinks To Main Drain' I I _
Comb. Sink a Traysl I II To Curb I I
Dental Units' II I_
Drinkir•.g Fountainsl I ;I
Floor Drains WATER SYSTEM !_>•
Hoppers Size
Restaurant Sinks Material r:
Sand Traps r TOTAL FEES
Urinals Fixtuie�Fee.. _ .I • 1O
Area Drains Main;Drain Fee p0
Water Leaders -StormrDrain Fee
Sprinkler Vawes Water Fee. . ' /. Q
b ,�� Permit Fee - I / - 00
TOTALvb TOTAL 7 FEE. _/ , j p
RE O D ECTION' '
Partial Rough (j _ • `;i,;�
Rough enplete
Cupertino Sanitary
. ON1ce ;opy
v.'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection ?
, • - Sanitary Permit No. ...�;(-----7 ""
,[9--Plumbing Final Plumbing Permit.No. ../. �.
' . Lot No. --,2
I . .
Owner or Tenant..... :/ --- --- - ..-----
-. -..........._-----._:.............. .-_............
At -..�1��>G.�l......�:...0/moi-.-...��-P•�-4-�„jr�-�l_ ..� _ - - ' .......... :,
Tract ----------------N-:_%��i - r
Date Connected ._:............--..----- . ..,.-.��- _........... ... - I
Date Coral .................. +
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LUMBING'INSPECTOa'
LPp
01111 1/60-500