1434lo/,71 // L-�c.v 4-^/!Aes� LOT NO �j
NO. STREET 04
in fLC TlO Q�P , PLUMBING PERMIT
C OF CUPERTINO
n
�p,� 6 1962
Date 195_ Permit No.
CITY Cic CUPERTINO Fees Ale !;M
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
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
V Cupertino, and all other laws applicable thereto.
y nn 0
Use of Premises
'a
i
N Ownernitlon� iJ.s.f�.,sawa�.o
B /01c / I 1'2au /� Address
t y P� �t
CONTRACioi AGENT
Phone �' — 1 / Approve
I t 6-1, PLUMBING INSPECTOR
- TIXTURS
RUN-19ORK
11
P7MR 7��'
UNITS I
IFFES li
-7, 1 UNITS 'FEES!
i ter
Y
btze 41 R
4Rater Ti
o—sets
Material
`Bath Tubs
To Curb
—Shwwcrs
To Prof.
—L—Uvatories
0 Existing
'Kitchen Sin ICS
N
"Dish Washers
�Taste Disposals
I
—11STORM DRAINAGE
Machines
.chines
'!t ''i
Material
�^Bar Sinks
To Main Drain
b, Sink &Trays
oo Curb
�Dcnval Units
tD' king Fountains) 'rrin
4
Drains t
WATER SYSTEM
�Hoippers
L
rRestaurant Sinks
'Sandraps
Material,,
TOTAL FEES,
Area Drains
Fixture Fee
i Drain Fee
rWAter Leaders I
n Drain Fee
$Pi , lnkler Valves
I Watek Sys. Fee
Permit r 6
LreEt
[TOTAL
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_TOTAL - 5-0
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