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"•R' _ LUMBING PERMIT
C O �UPERTINO
MAYS 11 1M j
Date 19S�a Permit No.
CIT OF CUPERTINO Fee $
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed lon the revers e,side hereof, and agrees to install said prices
and/or fixtures in accordance with tQin rovlsions of'tt e-,Pldmbing, Code of the City, of
Cupertino, and all other laws applicable thereto.�'
Use of Premises APARTMENT
PLUMBING
2/
FIXTURES NUMBER
MAIN DRAINr j
UNITS I FEES II
'IUNITSI FEES
Water Heater / / &%Ij
Siie •t�.'' ,IC,
Water Closets - 11'3z 11
Material. C, j • '. ,;
-Bath Tubs . �/ ��oq II
To Curb
Showers 11
To Prop.'Liney-�' .
lavatories
o Existing .
!No—,
Kitchen Sinks ,� .y t °
o—,
Dish Washers
r
Waste Disposals i�<��°��
'• ;i'
Wash'Trays. y ( ��
STORM DRAINAGE ,4
Washing Machines
�I .Size
Water Softeners
�� Material
*par Sinks' =
��. To Main Drain
_Crb. S k Trays
To Curb _, }
Dental'Units
Drinking Fountains
�� #
II ,.•,
Floor drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material(�u�Ij �'.--
Sand Traps
TOTAL FEES
Urinals
II^ Fixture Fee
Area Drains
II'; Main Drain Fee -
Water Leaders
II Storm Drain Fee '
Sprinkler Valves I
I1,,Wate[ Sys. Fee I
BEWER noxvgJ 1,2 SO
II Permit Fee - I.
TOTAL ..1 hZy1"°
11 TOTAL -'FEE-, a7 Si
ORD OF INSPECTION`
Partial Rougr
Rough Com e
Final
Bldg. Dept.
Office Copy
BUILDING INSPE TOW'S QFFICE
CITY OF CUP%Ek+'lN'0
Sewer Connection
Sanitary Permit No . ......•i --------------------------
&-riumbing Final Plumbing Permit No
-Lot No...._..... _............
O,wnei or Tenant
At...........
Tract
Date Connected .................
.Date Final ------
111 7/61-506
p_,U-::
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