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1435LOTNO.--5-? NO.. STREET - _w- Oak>. ®'"A It R PLUMBING PERMITCITY CUPERTINO .11-V'R 6 1962 Date > 195_ Permit No— �J CITY CF CUPERTIN© Fee $ Application is hereby trade to the City of Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to instal 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 Premises elk G •I R: OSIB:. MAIN OR I UNITS I FEES l) g �UNTS1 FEES Warer Heater ter Closets ath Tubs I ` I Material " 0, _r;— I To Curb I 'howcrs ,., avaiories 3' To Prop,Line,/ I To,Exist'ng i ,'iifehen Sinks �-�,i�..�h -Washers iI lWaste..Disposals^, I _ I 9 I I— ��'a'sh"gays / �I STORM`, DRAINAGE_ WashuP"Machines W/ater' 'oftenerU, !B -t inks Size ` Material i T Main Drain O;Cnmb. Sink n Trays To Curb Dental' Units I I [Drinking Fountains I lour Drains i I WA,T'ER SYSTEM Hopper I IL Size., Restaurant SinksMaterial I I II iS�and Traps I I` TOTAL FEES i canals Fixture Fee ADrains Main Dram Fee It cc,er Leaders I I I Storm DrainFkler Vmves I I -II Kfa WaterSy's.FPermit Fee6 "p'L fs Q TOT L F / .` i4; Bidg.,Dept. Office Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO M Sewer Connection Sanitary Permit No . .... ........ []/Plumbing Final Plumbing Permit No. Lot No...4-100 .- Owner or Tenant .... At------ Tract ......... S-4aez Date Connected ----------------------- Date --------------------- Date Final -------------------------- -- - 111 7/61-500