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1884 / 0 LOT NO. V NO. T R PLUMBING PERMIT s CITY OF CUPERTINO x o ��DEC 17 1962 �' Sanitary No. s � LL 0 'a Date 196_ Permit No 3 CITY Of CUPERTINO Fee $ 0 Application is hereby made to the City of Cupertino for a permit to install plumbing o a pipes 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 wCupertino, and all other laws a licable thereto w Z � r LL Use of Premises 00 � 3 Owne Address/ . 2 0 y Address— N Phone ao State License U C/ OZsj Approved _U CONTNACTOR, Af,F.NT -FIXTURES NUMBER - MAIN DRAIN _ _ UNITS FISISS J.� FEIS Wnrer Hencer , Size Water C osets Material Bath Tubs SI To Curb Showers To Prop. Line Lavatories To Existing Kite ien� Sinks — Not Conn. Dish Washers Sewe IIoxe Waste Disposals \`Dash Trays � STOR DRAINAGE \Y/as a"ng Machines ( Size Water Softeners Material Isar Sinks To Main Drain Comb. Sink s Trays To Curb Dental Unity'' Drin ing Fountains Tr Drains WATER SY T -M _ Illers Size Restaurant Sinks Material San raps TOTAL FEES Urinals PS ixture Fee 0, 0''d Area rains Main Drain Fee �Jp Water Leaders torm Drain Fee Sprinkler Valves Wate[ Sys. Fee . D" Permit Fee .B U ' TOTAL p,(gyp TOTAL FEE .9� ground Rough. o _ .Partial Rough.. .Rough. Complete.. A4ain Drain Final... 2 — - o o � a q ❑ w w w io n ^^ R o a °a C � / Z t o � V b 0 inb o