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1476 V\fLl X IO LOT NO. NnRMAR P L TA FOR; PLUMBING PERMIT 3 D;196L I OF CUPERTINO - U Dat 1TY OF 5— Permit No. P10 �� ;. Fee $�t� Application is hereby made to the City,oflupertino for a permit to install plumbing . kf.. r pipes and/or fixtures listed on the rever4eslde,:hereof, and agrees to install said prices � O, and/or fixtures in accordance with the piovisioni of the Plumbing.Code of the City of i n(J( Cupertino, and all other laws applicableyttieieto Ji.L.. L � Use O em1Se5 -.. � • � . Owner © � � . ' p 2-�•,I " .'A'dd es � dres CINA , AGB.- .yPhOnei ! P PLUMBING INSP CT R N. h r. `III .I�,.._ ... .rs.'^•. _{__�-.,.�3') _'ro-.•.�,�'.^'fir ! L 1 1 - FIXTURES NUMBER MAIN DRAIN,;! UNITS FEES IUNITSI.FEES Water Heater 11 S1Ze Water Closets . I 11 Material ~� M1 Bath Tubs To Curb Showers P �� To Prop. Line Lavatories �, , •„� �� To Existing _,�i•`, !• Kitchen Sinks .., �• �� Not Conn._ Dish Washers - _ � .2 _ i� 9 a n �• •' ,.ish Waste Disposals ��,,, .;•.�3 �� • STORM AINAGE a Washing Machines - ?;,�),, �I "Size: _ 1. U Water Softeners Material I;. k -Bar Sinks ,- ,...u_ ,� :,t 11 To Main Drain 1' Comb. Sink a Trays) - _ To Curb, Dental Units I - Drinking Fountains) I - I. Floor Drains _ 11 WATER SYSTEM Hoppers - �- �F Size Restauhrit Sinks *Material - {' Sand Traps TOTAL'FEES Urinals Fixture Fee Area Drains' Main Drain Fee Water Leaders Storm Drain Fee Sprinkler Valves - _' I Water Sys. Fee ` `gEWER BOX Permit Fee 1 TOTAL - TOTAL FEE RECORD OF INSPECTION n Partial Rough Rough Complete Final