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860 (2) T.- i¢'✓'aLi•F'- -.�.' nom. -.- , :r..-.�-v -�.J' / :. .. LOT No.- Ro.k. STREET ' a „A1jfAPPtiLIC/1XION FOR PLUMBING PERMIT. ^� CITY OF.CUPERTINO Date'"11. ,I P. CIIPERTINO195_ Permit No. ^ QU— Fee je� 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 laws applicable thereto. Use of Premises :t a Owner /�/9<// �� Address B Addre DoE AMS �, 'P6one -goo THE ALAMEDA - ApproCALWv i 6ANTA CLARA• K-7I PLUMBING INSPECTOR •IX URES NUMBER MAIN DRAIN 'UNITS 'FEES IUNITSI FEES ;Water Heater _ Size �Water aterial - Bath Tubs •: II .To,Curb Showers .j �it 11 To'Prop. Line 'tLavatohes 121, I. • i jI •To•Existing .Kitchen Sinks Dish Washers 671 Waste Disposals Wash Trays II STORM DRAINAGE Washing Machines I II Size { !Water Softeners Material I Bar SinksTo Main Drain r Comb. Sink s Trays To Curb Dental Units Di-inking.Fountains � II Floor Drains 11 WATER SYSTEM Hoppers II Size Restaurant Sinks Material r Sand Traps TOTAL EES Urinals Fixture Fee Area Drains Main Drain Fee I/ Water Leaders Storm Drain Fee Sprinkler Vntves I I II Water Sys. Fee V JW Permit Fee 09- TOTAL SII TOTAL FEE RE ORD OF SP TION Partial Rough, ,Q _ Roug Complet Final Cupertino Sanitary Office Copy:. " BUILDING INSPECTOR'S'OFFICE CITY,OF CUPERTINO F-1 Sewer Connection Sanitary Permit No 4k.-; .. / [w]''Plumbing Final - - Plumbing Permit No. ._�/�6-. - -----.- d Lot W. - Owner or Tenant iA .. -- - - 9~s- ----.... At - ........... Tract ... .� ---------- --_ .. _....._... .._.....---- ------------------- - (y Date Connected ......--- ..... ...... ......dr`........................................ 19 �. 7, Date Final --------....................-------- r _ .. 19*,./ .. ..:---- --------- MBING INSPECTOR, 111 ,1/60-500 _ - -