1326"FL M "iZeF- 1. ANE LOT NO. cs- O
NO.
Q APL CT O 1 -FOR PLUMBING PERMIT "
i�NOV 14 1961 CITY OF CUPERTINO
Datep} njn"I -81961 195_ Permit
40
/&2 k
Fee $ /S !
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and 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.
Use of
Owner /lp-?4C7/C•�LS
gy !L E - J oN CS
CONTRACTOR, AGENT
hone L 1 0(1.60
Address f OQ 1
Approv
PLUMBING INSPE 'OR
FIXTURES NUMBER
MAIN DRAIN
UNITS FEES
IUNITSI FEES
_
Watcr Heaixr
Size
Water Closets
Material C1
Bath Tubs_
/
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
/
�� No Conn / i5
G�
Dish Washers
Waste Disposals
Wash Trays
II STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink-'s, Traysl
1 11 To Curb Ii
Dental Units
I I 11
Drinking Fountamsl
.`.
II
Floor Drains
WATER SYSTEM
Hoppers
11 Size 7/41
Restaurant Sinks
II Material Ic, Ar�,j
Sand Traps
11 TOTAL FEES
Urinals
II Fixture Fee I ( • j0
Area Drains
II Main Drain Fee I 1 OC
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee / •aO
FA
'-uCupertino Sanitary.
Office Copy
BUILDING INSPECTOR'S OFFICE
. -CITY -OF!CUPERTINO
Sewer Connection - Sanitary Permit 'No. -- a(- ----- .
1r32.G+�
�Phiinbing Final Plumbing Termit No.
t Y}S
Lot No. ...----------
Owner or-T
Oanero"r-T
I' At D...
O
Tract ..... - ----
Date Connected �1�f 19. ...
Date Final .. .7 _ --- I9GP�Z---
• .. ' i-
MIIING INSPECTOR
111,1160-500