1490 (2) O7 NO.
NO. 'STREET � '
® P IFOR. PLUMBING PERMIT
OE CUPERTINO
Date
P� 116 1962 ,� ' i�9d
195_ Permit No.
0
CITY .OF CUPERTINO Pee $-
Application is hereby made to the City of Cupertino for a permit to install mng
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'C_ity of
Cupertino, and all other laws applicable
thereto.
Use of Premises APARTMENT T �fGkl/
Owner p}1{ !P'RAEAIOW, INC. Address�c�-.J
By I A' 74�1 La ��....�;,. 4 _ Address
200 Cristich TRAC OR, AGENT
I ph Approve
Pho _
Pho rne 377-566-5660 hell. f(frt7 — PLUMBING INSPECTOR
r '
SURES NUMBER MAIN DRAIN
I UNITS I FEES IUNITSI FEES
Water Heater Sae
Water Closets °-�� Material C i
Bath Tubs � `�—! °��� To Curb
Showers To Prop. Line
Al
Lavatories `' To Ex' g
Kitchen Sinks N!4 Conti. y
Dish Washers' C�
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size -
Water Softeners- Material
Bar Sinks To Main Drain
Comb. Sink a Trays) 11 To Curb
Dental Units-
Drinking Fountains)
Floor Drains WATER SYSTEM
Hoppers Size '/
Restaurant Sinks �� 14aterial�� o
Sand Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee °=
Water Leaders Storm.Drain Fee
Water Sys. Fee., 00
Sprinkler'Vawes � y
Permit Fee o
TOTALi 1 SP TOTAL FEE. ,SO
i QI
Partial Rough
Rough Complete
Final 1 11 l�