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2324 (2) N tlr STREET L � LOT NO._ 7 AIS! TION FOR PLUMBING PERMIT Di•.b D CITE' OF CUPERTINO teAUgUAIW ' 19563 Permit No. CITY OF CUPQTINO Fee Application is her y 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. u Use of Premises__�tPalAanrtn a v Owner RlWW Valley Homes Address_11120 Orange Tree Iane BY—�t?ts3 CONTRACTOR, AGENT Address-3329-MeAlameda ' Q Phone A%6-3963 Approve G/oma � �/ PLUMBING INSPECTOR —FIXTURES NUMBER MAIN DR IN I UNITS I FEES II �j IUNITSI FEES rWater Heater I ,,,)!I Size ,Water Closets13. Material Bath.Tubs _ j / ;Z II To Curb1 I Showers - a. ,II To Prop. Line LavatoriesI3 0© To Etc�stin& Kitchen Sinks / p� No Conn. d7,6YL7- Dish Washers I / ti� SEWER sorrA + Q rJ Waste Disposals Wash Trays STORM DRAINAGE Washing Machines Size ' I I Water Softeners Material -Bars,nks 'I I - II To Main Drain Comb. Sink &,Traysl 1 II To Curb I I=� Dental Units Dtinking,Fountains I I II Floor Drains I WATER SYSTEM ' Hoppers I' II Size I_ Restaurant Sinks I I Material - Sand Traps I I TOTAL FEES Urinals I Fixture Fee Area Drains Main Drain Fee Water Leaders I I Storm Drain Fee Sprinkler VaiveS I I I Water Sys. Fee .I I II Permit Fee TOTAL I /02 I/aoo.I TOTAL FEE / 7. 09 RECORD OF I CTION Partial Rough Rough Complete Final I (- r