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993 (2) LOT NO. N6 BET O v��t q; e APPLI A FOR PLUMBING P ;� . ERMIT, ITYOF CUPERTINO' t Date >>'/� L - 19560 Permit No. r Fee $In �� d Application is hereby made to the City of Cupertino for a permit to install plumbing r pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices P P g p ces %>z and/or fixtures in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. remises Use of PI^n�� d Owner Address in - �t� ,� C By Address /'O�C�'�/ZxzL ' CONTRACTOR, AGENT �J"Z^^' 4 Phone '�- ' I D F Approved a (may �1 �3 PLUMBING INSPECTOR I'IXT-URES ,„NUM_BER st 7-MAIN DRAIN UMTS'1yFEES jWf UNITSFEES Water Heateti, _Size*'. a' ! Water Closets. +. 1j- Ls>t><0 '•-Material Bates Tubs I y jrgrp �,To Ctirb I Showers i Cd. E, 'b�r I sTo Prop. Line a,,, Lavatories I,, 7.t, 'Tyo Existing I tchen Sinks I' / •' II "Notk@ony,g! W el tI D� i5h5.Washers I / aC II:M Waste Disposals I f..07 WashFays 'MI-)RM DRAINAGE Washingl •lachines �: 6'% ?I 'Size e of ers I' "yj'II%Materaal ':Ba - tlj io Main Drain Com Si Trays Ilio Curb ' I_ Dent ' • I ME)Fm Ving Fo Fountains) Floor Drains DATER SYSTEM HoppersI . I I1 Size •± �! I_ Restaurant Sinks- I 4i! IIr'[aterial Sand Traps I %I 'It!I TOTALJPEES Urinals I- _ • I `„ „IIxture Fee 11 3 1 i Area Drains _ IIJLMain Drain Fee I '1 5-v Water Leaders I .";;'yy'� I 4 .III,,Storm Drain•Fee I Sprinkler Vaives R•9 I ,&J jWater Sys. Fee I r✓U t A.A,-eq,eo- I. I1• iI'' Permit Fee . I r ."D TOTAL Ii` Id j)sS�I1 _TOTAL FEE I („1� R{ECO_ D O CTION Partial Rouget �� _ Rough Complete Final e Cupertino Sanitary e Office Copy =: BUILDING INSPECT 'S OFFICE CITY Orr;CUPERTINO ; Fj Sewer Connection t Sanitary Permit No. ....,. .�513 ............... �y 4 ©`Plumbing„Final Plumbin Permit,No. :.... T Lo No. ...... • .. • /� y +t' Owner'or Tenant �..___ti'.I.._�iliCi.CS r2tQw�'i i.c ~•a '� ... .At . . . t .l. fa. .`_1. �+ v''ta.,7Al+�QrtJR•ty . a,,;>..,, r•r:;r' • .. Tract ......... .GGA !----f-- ------ ::_... . f/ Date Connecte ..._.._.............. .. . -- _.._... ..... ..__.... .. ... ..._. 19.TF'.v r DateFinal ................a--.----------.....- --- ------ ........... .,----- ------ . ........ 9 ...'f/..Q�'fY-- GPLUMMNG INSPECTOR Ill 1/C0�500 C_ .,�_ .. .. _._..