1427A
O12 -Z .. CQi� LOT NO. 9
'NO. STREET 04'
PM PLUMBING PERMIT
�C CUPERTINO
U % /� y
Date •l i!��. 962 /.nC /
I _ Permit No.
CITY OF C! IPERTINO pee$—t/,� — —
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
M and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cl Cupertino, and all other laws applicable thereto.
u
� e
L Use of Premises e
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6
ZOwmerA�.tyd?�1�� a. _�^� �� Addresses
a
By P Address
ONTRACI'OA,
FSP -7 �7Approved
LUMBING INSPECTOR
u1sn wahl'u, I 1
Waste Disposals
Wash �Traysj
in
STORM'DRAINAGE'
Washing Machines
Size
-Water Softeners
Material IC
Ear Sinks
I To Main Drain
t
omb.!Sin &Traysl
Dentall Units
Dunking Fountains
To Curb
Floor Drains 11
�Hq . ppers —I —ij
WATER SYSTEM
Siz "j
rRcst—au,�nt Sinks
Material
"Sand-Traps
TOTAL fEIHS
u inals
Nxture Fee
—Drain
"Area, Drains
NTun FeS 1 /"00
j-Water,LeaC rs
Storm Drain Fie
Vanes
Water Sys. tccd I
-,sprinkler
'L'&
Permit Vec V, 6.TiO,
_4-01
TOTAL,j',FEE, k 4-d
.�. _ m,:;,�,_. _ - I . " I- -