986 (2) NO. N. STREET
L Ct FOR PLUMBING PERMIT�67d)
OF CUPERTINO
^� NOV 28 1960
Y Date 195_ Permit No
CITY OF CUPERTINO Fee $ • z$
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
Cupertino, and all other law a licable th eto.
PP
4 Use of Premises -24
€ :a
OwnerLl '04
S2 Vl Address
F
By ' - Address '
CONTBACTOR, AGENT
I
t A Phone 2 23 3Approved
\' - . PLUMBING INSPECTOR
IJR ?i NUMBE M I
UNITS I Fres II JUNITS1 FEES
Water Heater I iI Size
Water Closets � Material
Hath Tubs To Curb
Showers To Prop. Line I
Lavatories �� To Existing
Kitchen Sinks '0011 i)lo Cons{,
Dish Washers (_ 11
Waste Disposals II
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners 1I Material I j
Bar Sinks To Main Drain
Comb. Sink a Trays) To Curb _. I_
�Dental Units I ��
-Dunk g Fountains)
D
Floor rains �� WATER SYSTEM
Hoppers �� Size I
Restaurant Sinks I I Material I
Sand Traps I TOTAL FEES
Urinals I I� Fixture Fee I
Area Drains I II Maim Draih Fee
Water—Leaders--1 I II Storm-Drain Fee I
Sprinkler Valves I Water Sys. Fee
11 Permit Fee p
TOTAL TOTAL FEE
R PE �i 4,C
Jlertral,116ugh
Rr ough:Comply.
i Final Y—
.�+.. . eCupertino Sanitary
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPLRTINO // y/.�
❑ Sewer Connection Sanitary Permit No. ....a.SppO.ryryL.//Q............
[ Plumbing Final Plumbing Permit No. ......l..Q...F ,..........
Lot No. ....1.�4..............
d
Owner or Tenant ......... .:r... ..t......-----
.......................................................
At .ID. N `:/ .. .. .... .......... ............................................................
a
Tract ................ .. ..........vC(�..... .......:................................................................
ateConnected ...............................1���29 ..............................................._. .
DateFinal ......................_............��.�.................... .........
................................. 19Gr.Z
..... . ...........................................
.UMB G INSPECTOR
111 1/60.500