1705 • l'Ii I �Q2 Q.�1 i LOT NO.
NO. STREET e/`
?4A
R PLUMBING PERMIT
F CUPERTINO
t1G
Date ��lFj" � '��.-* 14s� Permit No.
CITY .;'^3r..%%i�►jj� �j�•
.. P' EJiJI�l ll�d Fee $
Applimtion.is hekebp_iaade to the City of Cupertino for a permit to install plumbing
pipes and/or'fiatuig Afi;ed on the reverse side hereof, and agrees to install said prices
and/or fixtures; `: mrdance with the provisions of the Plumbing Code of the City of
Cupertino, and )they laws applicable thereto.
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aUse of Premises ��iA4et!�i q
h owner enf. Address 3-P0 .
By ? 'Address
C C O ,' AGENT \ -
PhoneApprov
PLUMBING INSPE
ixG I A
UR . _MAIN
UNITS I FEES II UNITS FEES
mc Heater I,; ' ;I1 Size
iter C osets ? y>�I Material
Bath Tubs I Y To Curb I
Sh-owersl I ., �� To Prop. Lin
vatories I ,, p �� To Exi
LaI
Kitchen Sinks ot, nn. 140'
Dish Washers
-Waste Disposals; ' JJ^ �I�, W �-
Wash Trays , RAINA E
Washing Machines i I �oU (�V Size I I
Water SoftenersI _, I �I Material {
Dar SiSinks; I �� To Main Drain I I
Comb Sink �kiaysl To Curb
Dectal i nrts I I I� "
�Drin� Fountainsl I 1I -�"
;Floor Drains, _ �� WATER SYS E
:Mol pperrrr, .:I1_I� Size I J
Restaurant Sinks.
Sand Traps TOTAL FEES
'Urinals I' I 11 Fixture Fee I
Area Drains Main Drain 'Fee
Water Leaders Storm Drain Fee /--j
;Sprinkler Vnwes Water SyS. Fee
Permit Fee 4.
"TOTAL JASO 11 TOTAL FEE Q;IM
RE RD OF INSPECTION _
`'Partial Rou
Rough Comple`le' IY�s
Final
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