877 (2) .. / l•� - �-'W "��/•C.J LOT NO.
i ueE 'T ISI `
_ E
/ G.1'�PI� N FOR PLUMBING PERMIT'J "
CITY OF CUPERTINO
^rlY GAVERM0
Ha 195_ Permit No. 277
l� Fee$//.;?
Application is hereby made to the City of Cupertino for a permit to install plumbing
,7 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 laws app ble thereto.
8 Use of Premises '
.y
Owner A& A dress
BJUt AMARAL PLUIhk):,NGJ, ,jWk Address
y 9(�€f34
2n
Phone SANTA•CLARA, fALIFORNIA Approve
PLUMBING INSPECTOR
TI--X S NUMBER MAIN'DRAIN
UNITS FE Es UNITSFEES
,Water Heater -� �� Size a
• Water Closets /y �� Material C,
Bath Tub'sj To Curb "
Showers / II To Prop. Line L
Lavatories � /y 11 To Existing t In
Kitchen Sinks
Dish Washers
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines 'I'A' Size r
Water Softeners. Material Iisl
b Bar Sinks To Main Drain I.
Comb. Sink s Trays To Curb _
Dental Units
Drinking Fountains)
Floor Drains WATER SYSTEM
Hoppers Size " I__ �_
Restaurant Sinks Material
Sand Traps TOTAL ES
Urinals Fixture Fee
Area Drains I 1 II Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Vawes Wate[ Sys. Fee �—
Permit Fee 76 —
TOTAL TOTAL FEE 147
j RE O D O IN CTION
Partial Ro�igh L
Rough CarSplete
Final
Cupertino Sanitary
Office Copy
BUILDING INSPECTOR'S'OFFICE
CITY OF CUPERTINO-
❑ Sewer Connection Sanitary Permit No. .. .....-.63.1...........
............. ...
tr Plumbing Final Plumbing Permit No.
.. .......
GJ
Owner or Tenant ..................... Lot No. .
... ..... .... .... . .... .. ... .
-----------------_-----------
--- - --- -- ---- - ---- -------- ------
Tract ------
------------ ...........
Date Connected .....
------_-------------- .. --- --- --- --- 19... ......
Date Final ...............i..... .......... 196
.......... ------ .. .... ... .............. ......
OTUMBIIVG'I'NSPECTOR
111 1/60-500