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983 a- NO. Y`y t 151'R yt.., •' .LOT NO p. of 7t: -£ , f ; s IPPLrI " ON 'FOR PLUMBINGPERMIT U Y 'y CITY OF CUPERTINO Date 195_ - Permit No. ' d` CITYOF.,;CUPERTINO 1 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 n( and/or fixtures in accordance with the provisions,of the Plumbing Code of the City of �uu Cupertino, and all other laws applicable theret/o�."' ' ' Use of-•Premisesrr' � Ul 6CU Owner Addie CU2� �.• � : r By Addres ONT�• �q Phone _ APPr PLUM GING I SPECT N i �TUREt NL MBERS 11 -MAIN DRAIN `.-)I UNITS I FEES II UNITS FEES Water Hearer` Size: ' Water Closets,: I Material Bath Tubs.3 •, =..+ To Curb Showers x-.I _ ' I.�To Prop. Line Lavatories " ". ,To x' ' Kitchen Sinks t onnn ,� ad I 'Dish Washers it w Waste' ,Wash T,1ys ?: STORM DRAINAGE Wasa2fiinesI II.•-_, II Size" - }W'''�ett_, yrs 'I) J..•: .. 11 Material ;Bar'_Sinkssitl IL'iTo Main Drain C nj"S iK& Tr ys �To..Curb I I Dental Umts Drinking Foun alnsl ; zr I 1 ✓. floor' V I r Na,, Ili WATER:SYSTEM ' juf9nt Sin s_. f c.' :,Ir i �c a.. , II h TOTAL FEES �:urinals- ',�_�?c•t+ 5_e•- IIt_Hxtuec ree' �Aie3�Drains I: .s ..., _ ti Main:Drairi�Fee I—]Z'-� Water,Leaders I , `\+!�:;�"y; II EStbrrwDtain'Fee Sprinkle4'Vb Ives Water Sys: Fee,\:I Permit Fee / TOTAL TOTAL FEE / RECORD OF .INSPECTION Nirtial KA0 1 Rough Complete t . ' _ •- y� F�Pr � Cupertino.Sanitary v Office Copy. BUILDING' I d ' - ' CITY•OP CUPERT .w ""�Y'%'"•{• V a..M •.. ..�� 1 .j i J�� fl I'1 Lir:.� •, Senei• Connection a ' San ry Feu it No. ..� ' ©�`Plwnbing Finalkp` ',,Plumbing,�Permit No. ...J�`.. 3............. Owner or Ternnt !�!i'.-F!-�4,—, 'VAt � - i v Tract ------------ - - - - ............ -- ---------- ..... - Date Connected ......................../.�...2d �. -- ----- ------;-------- ------- .. 19:�..... Date Final -.-...... :; f -.... ..... - -.... ..---- ------- ............. .:. ... /P.LUMRING INSPECTOR 111 1/60-500 (/