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1216 (2) dff IAWE Of%? rl?F"F- LANE LOT NO. /9 NO. STREET - ® fi 11 FOR";PLUMBING PERMIT 1 OF CUPERTINO W SEP 12 1961 Date 195_ Permit No. - CITY OF CUPERTINO' Fe" 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. V Use of Premises .<7fS 1.9 JW e 4' a v Owner 6OiR�.rH kL4R( - Address !A Ta ByRIIPP /a. AM& Address G CONTRACTOR, AGENT Phone 2-'k—El f _ APpr ULUMBING �if3, INSP R _ a '; FIXTURES . NUMBER MAIN DRAIN I UNITS I FEES'II,r -'I C'. 1 IUNITS'I FEES Water Heater //.N K: Water Clrsets 1 j,MateriaH , Bath Tubs / II;ToSurbk ;I I Showers_ yTo'IProp.•Lipe �;. ' , Lavatories 3 -[ To'Ekisting'� Kitchen Sinks / 'N' aCoo� /,Q Dish Washers d II SEWER BOZE9 ji t0 Waste Disposals t. i1`_ .1- Wash Trays ` . I STORM,DRAINAGE Washing Machines 7 I.:Siie , .M i, : r)k '}I' °; Water Softeners II 'Materials-, if j' ,,-'-j Bar Sinks ..II, `To-MainrDrain;j j Comb. Sink a Trays) j II To•Cuib " " *Il -i I Dental Units II - t, :1",i Drinking Fountains) I- ' IP '1 r L'd Floor Drains Ij WATER SYSTEM Hoppers Size ll. —AV" j ' y I_ Restaurant Sinks N4ateri4lJ ,. t jencv j r, Sand Traps j." ..TOTAL FEES Urinals II-'Fixture)Feej �.. I /[(,po Area Drains j II Main:-DiainjFee - 3•fo Water Leaders •Storm'Draiiii Fee Sprinkler Valves jj Wafer'Sys�Fec j Permit Fee,j .� _ /. o o TOTAL II TOTAL'tFEE 7 y,i—U RECOR OF SP TION--- ' Partial Rough r ;�'�" ' Rough Compl / T Final ,'?��,- Ile � L. •. Cu .g;rSanitary ifice Copy . BUILDING INSPECTOR'S OFFICE . CITY OF CUPERTINO ' ❑ Sewer Connection .Sanitary Permit No. ......:...... �•• ©�Plitmbing•Final;, s •'' Plumbing Permit - - ' •.' L t N' Owner or Tenant .---- - a? JPx!/.� �K/^= f?�!r:.i_':- :=,•... t!t .. s - Tract ! - - �'•.' �[+,d'Ar - : _ f r/ ul+++•^+ X .M r,t.<.. .... '.� -.•v/r:XL.v.t-_ 'Date .7:r ,. L r tit 7 r•. i� f� - .z.. �.0 i T Date Final 19/0 GLUMBIIQG INSPLC'fOR.: '. •"-i ttt�1/60.500 �-' � � • ttt '