1148 (2) 0 59�� I PEPPEP 7PEE. LOT NO..
NO. STREET
PI PLUMBING PERMIT
1 {Q ERTINO
Date TUN 16 "' 195_ Permit No.- I _
ray°
�. CIFee $
TY OF CUPERTINO � ?--
Applicatio 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.
8 Use of Premises
a ,
' Owner ZMillo it j=rN A4,0kS Address N
By�//?e Y FC/iAIA/n/G Address L L
CONTRACTOR, AGENT .
PhonApprove PLUMBING INSPEC A /
FIXTURES I NUINIBER--11 MAIN, DRAIN
UNITS FEES I ll - I UNITS FEES
Water Hitter II $i2e !j . 4j tl 4:'
V gtPr Closets 3 .� �� Material t j , {j E'/
Bat )s l ; �� To Curb
Shower s• 2 1_- j�� To Prop.-Line,' ;,i ,
Lavatories 9 ;,.;.ill To Existing ;'h. 11"
Kitchen Sinks Not on
Dish Washers
Waste Disposals
Wash Trays 11 STORM- DRAINAGE
Wishing Machines �I Size -,I
WateC:So teners. :.,� 11 Material
Bar'Sinks . 11 To Main,Diairi'j
Comb. Sink'a-Traysl , 11 To Curb r.,. , 4 1_.
Dental Units I I t 11 -P" +'
Drinking Fountains _ - - i _
Floor Drains 11 WATER SYSTEM.,
i Hoppers Size j ' /ts 'ti��, �__
Restaurant Sinks Material, jj'J�IGA4i-
Sand Traps TOTALMEES'
Urinals _ Fixture{Fee 2r
Area Drains Main Drain}Fee j�; /;p u
D
Water Leaders �� Storm rain(• j'ji.,'A
Sprinkler VitvesI Water Sys. Feed°/!o U- �
,FAWARaMWE3 / x. _5 Permif'•Fe&j} ( I!,/.o u
TOTAL X6,2611 TOTAL''FEE, ./OV'a1
�;• R C RD I CTION .��{�
Partial Rough "/ e'J; -L1I'��
Rough�Corilplete ' >�(_���
Mrd
"cupe o Sanitary
-
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO -
.. -
,� Sewer. Connection ""-'Sanitary Permit No. ........
Or'Plumbing Final _„vPlu.mbing Permit No: .-./�.7
_ of ..:...:�.,..
Owneroo�r/T�enpanta .-
w
n'�"u� Rf (-Y.V•�C.Y.
rp r Date Connected ^r t ? . j> -« + '
?.........�.:,:;-j-- ------- "•Ics -----------+
Dai I\i a1C,i�'"� t`."�h-* / �'�" ... .:. ..
' ('�j�
�Mt1tNG'INSPCl.7-OR'�'w�•`'- ' "f''-"
Ll 1U 1/60-500
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