1215 '2oEy6 LOT NO. /V
NO. STREET
` P TION FOR PLUMBING PERMIT
OF CUPERTINO
DaT 'SEP 12 1 195_ Permit No.
CITY � rr''IIpp DD ''^^''((�� 99
ApplicatOion is` Vrpb�S{fTdH'ahe City of Cupertino for a permit to install plumbing
npipes 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
V Cupertino, and all other laws applicable thereto. .
8 Use of Premises /�LrfiDP ucr +"
v
Owner CJ//1/Ni1A/wCltfb ''�.9tD�Ji Address yr
C Q By /� _ Address l b
CONTRACTOR, AGENT C--
Ql �l3Phone ��- a -ellZ _ Appro PLU ING IN E OR
--F—IX—TURES NUMBER ;;rj ; `MAIN DRAIN ,;=I
I UNITS I FEES:11 li JU14ITSI FEES
Water Heater . I 1 '.4J,Size, .'� .`: YV.
WaterCIasets-'. I 3 ?' IN•Material el-
Bath Tub>. I II"'TojCurb :I
Showers , 2 II' TojProp. Lineal ,`✓ I
Lavatories I,T]Existing
Kitchen Sinks
Dish Washers I !- II,SEW R'BOXES'I_>- IPSO
Waste Disposals
Wash Trays 4STORM DRAINAGE
Washing Machines IYSize
Water Softeners (`'Material l IiJ. I
Bar Sinks '.I I . . I' To Main Drain
Comb. Sink s Traysl .. I _• II To Curb r l
Deal Units
Deinking Fountains
Floor Drains I WATER SYSTEM `
Hoppers .'II-. Si%ejjIti*I5� a I
Restaurant Sinks I I'-_Material(
Sand Traps - ^ 'TOTAq?FrEES
Urinals II,,Fixture,'.Fee {1115;( ///.JJ
Area Drains II•'Main Drain F,ee_:Il 3.�-J
Water Leaders
Sprinkler'Valves I g%: . I°,Watet.'Sys.,'Fee
sJJI'Permit Fee,' j,-~SIL
TOTAL I I " 1I TOTAL FEE; :/q.y-a
.!
RE
,CORP OF P T10N";'� "`5
Partial Rough 9.r ) z'j `-
' Rough Coa pl � F ;{
Final ra . r [ "�
T�
?:
Cupertino Sanitary
�. '.' ice COPY
BUILDING INSPECTOR'S OFFICE
CITY OF•CUPERTINO
❑, Sewer Connection Sanitary Permit No. .:.. .�d.7
...........
'
El*�Plmnbing Final Plumbing Permit No. .:...42/3. ...�..
Owner or Tenant .... ................
................._.._.................. . . . .--------......::::...',
At .... ........'..........lo..' ................. .
.
Tract ;.•-
/.ld /
•�DateNConnected 1 ,:»c '�� ' �//✓'
y�'w:. 'Date Final .. :rrMr: F��! f iL h1M" ..... 19e
/.
'1 .............. _.------.- ........ =! ..�h!i.•>�.
... .
GPLUMBING INSPECTOR- rAA
I' (0-500 i