18221966 I LQT NO.
NO. STREET'
)PP, N R PLUMBING PERMIT
OF CUPERTINO
196
i Date 1905-2-- Permit No.
I
CITY OF CUPERTINO Fees a
ei Application is hereby made to the City of Cupertino for a permit to install plumbing
M pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i, and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
a �/
&� Use of Premises / i��Z: -712' d L—
:a i
1 Owner O
lly T �� G.UST G
CONTRACTOR, AGENT
Phone
Address /6/,6 lam/ 4 -ICA -3' 4fa,,e 6
Address 7SJ
Approve
P EING INSPECTOR
UMBE
— MAIN.11DRAIN
-- UN175 i FRGS
1 UNIT L9
u7orer Hentcr i ��
Size -IF
s attic C osets j �j
Material j T-
Showers j ��
To Prop. Line
�Laaatories j j j�_To
6zisting,,
Kits hen Sinks
_
Not Corin.
r.D h -Washers
'W"ass te.Disposals
SEWER SoXIZSj j
'Wash Trays
STORM DRAINAGE
tl ing Machines
Size j
Water Softeners
Material j
Bar "Inks
jj To Main Drain
omb. Sink & Trays j
j� To Curb - - j _;
Drinks Units
�I
Drinking Pountainsi �
Floor Drains
WATER SYSTEM
Hoj
�Size
Fppers
Restaurant.Sinks
Material
Sand Traps
TOTAL FEES
tUrinals
nrea Drains , p pj�
Fixture ;Fee j 10'0
Main Drain Fee
Vater Leaders
Storm Drain Fec l
,,Sprinkler V,rvcs
Water Sys. Fee
�j Permit Fee 1.7-001
'TOTAL j
�� TOTAL FEE, ad
RECORD OF