893 (2) � l
r'ch 3 o L`ctoe -� h e LOT NO.
57REET 1
0
1(1
ION FOR PLUMBING PERMITV CITY OF CUPERTINOAUG 2 1950 9� 3
IT l at Z"% _' 1954--0 Permit No.
UPERTINO Fees as
rn Application is hereby made to the City of Cupertino-for a permit to install plumbing
pipes and/or 5xhues 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 allo er laws applicable thereto.
8 Use of Premises
'a
2 Own g{ . OAA?-� jAppr
By_�+ CONTRACTOR, AGEJ.Whone a ' /90 � vu B GIN E oR/
w .
i UMB:R MAIN DRAW
UNITS FEES 11 UNITS1 FEES
Water Heater /" 11 Size
Water CCosets -3 o o ll Material
Bath Tubs /" 11 To Curb
Showers I /o-o ��; To Prop. Line
Lavatories i4 ./ p �� To Existin
Kitchen Sinks 1 l go No Conn.
Dish Washers 1 o—o SEw w-Bo) e
Waste.Disposals 1 /, 0-0
Wash Trays STORM DRAINAGE
Washing Machines Size
Size
Water Softeners �� Material I
Bar Sinks To Main Drain
Comb. Sink &Traysl 1 11 To Curb
Dental Units
Drinking Fountains)
Floor Drains WATER SYSTEM
Hoppers
Restaurant Sinks Material c4f-�I�
Sand Traps TOTAL Ynb
Urinals Fixture Pee Yi
Area Drains Main Drain Fee / B-p
Water Leaders Storm Drain Fee
Sprinkler Vaives Water Sys. Fee /oU
�1•L1�� Permit Fee /br)
TOTAL Ib,yi�� 7-0—TX r FEE .7
R CORPOF INSPECTION
Part;;,Rnugh
Rough Coln Ieted ! , r
;Final �� lj
-2-
Cupertino Sanit
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ................................
Plumbing Final . Plumbing Permit No. ... �>qs
4jr.../...................
Lot No. .....12. ................
Owner or Tenant ..............................
.................................. . ..................
Tract ............ .....
. ..(,ice`......� ..... ..........................................................................
DateConnected ................................ ----- --------------------- ...................... 196-0..
Date Final ................................... ... ... -61.
... ............. .............................................. I9
... .. . ...........................................
111 1160-500 UMBING INSPECTOR