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RPLUMBING PERMIT
F CUPER'IYNO
EP 261961
a n� , 195
_ Permit No.
n CITY OF CUPERTINO F«a�
Z Application is hereby made to the City of Cupertino for a permit to iastall plumbing
and/or fiatum listed on the reverse side hereof, and a
Pipes d ,/ grecs to install 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 .PES//)ENC'E
M
ovmerC'O/r)moA/GIEHLTy By/LpE,tSAd � SE
)3y OL 7 Ad L
/t CONTRACTOR AGENT ,
PLUMBING TNSPECTO
R tMAIN MUM
UNITS �I Falls �I _ �UNITS1 FEES
Water Heater / _J___n Size &W
Water Closets j—� �� Material C,r
Bath Tuk / ��
91— —T—o Curb
Showers To Prop. Line
Lavatories I To Existing
N
Kitchen Sinks � / � �� N n
Dish Washers / H
Waste Disposals / 1-1
Wash Trays �� STORM DRAINAGE
Washing Machines / �� Size
Water Softeners Material
Bat Sinks �� To Main Drain
Comb.Sink as Trays To Curb
. Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers
Restaurant Sinks Material L66/0
=San TOTAL FEES
Urinals �� Fixture Fee /-9. SO
Area Drains Main Drain Fee
Water Leaders Storm Drain Fee
5 rinkler Valvca Water Sys. Fee ap
Permit Fee ,p0
OTAL TOTAL FEE /�, SD
RfCOJLD O S ION
Partial Rough
-Rough ( ete
final L
Cupertino Sanitary
�.,• •+_iPffirY Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. �......
/
®Plumbing Final.. Plumbing Permit No. ... .J-�z1M.........
Lot N ......fGPtR
Owner or Tenant... f..... — � .e:...........
42ti7%6' --4&Z .................. .............................
Tract ............... .. .........................:..........:......................
Date Connected ................................... �o�0. 194./.
DateFinal ...................................... ......--...--...-............. --...
i
I
w ....................
111 1/60.500
e17MEING INSPECTOR
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