1409 (2) 20941 I pepper Free Tane e LOT NO.
STREET
FEB
: �
p CATION FOR PLUMBING PERMIT
® CITY OF CUPERTINO
13 1962 . .
Date 8 February 19562 Permit No. y
'T OF CUPERTINO ,
T
Fee $ 1.509
t
Application is hereby made to the City of Cupertino for a permit to install plumbing,
i s and'or fixtures listed on the reverse side hereof, and agrees to install saidipinces
and/or fixtures in accordance with the provisions-of the Plumbing Code of the CityEof
Cupertino;,and allzother laws applicable thereto.
t,
Use•oEiPremises Soft Water Service •.
" Owner Ed Binge Address 1
7
By Rayne Soft Water Service Address
{j CONTRACTOR, AGENT L
j aImo,Phone Es -5609 Approved
(J� PLUMBING INSPECTOR
SURES , _• NUMB .R'l MAIN DRAIN•-`
UNITS 'tstFEES ./S a_4" UNITS I"FEES
T ,t, 1
Water Heater ,(�"•' �•i c'' Size L+z
Water•Closets II ,TMaterial
ToProLCs. rrtne:Showers Bath Tubs IY•x,
II
Y
Lavatories'' ,.. .Fryd,'� ' ;c L To,Exi5- -' I
Kitchen Sinks t''w• ' *;,'i"r; :Not`.Gon'n`r;;; _
Dish Washers.. sl .�^sCf..°A_ z:r,�Ti:, .v?e. ;� is -I••
Waste Disposals,;.' I ',. ;^r- •i.i ,�?�,4;c.�.= "^; '� rr �•
Wash Trays ':' �•,•.;.,;_:ytl,Y;;+; I]•+�" STORM DRAINAGE.
Washing Machines,;<,C,' ;!�] �':�':'ll Size i i. . I'r' •I
{
Water Softene}S_.:,; �'� ` �h.`<'. Mater ial". -r.�9i]F4 j
.Bar Sinks °^;ti;. F•= - To Main'D�[ s^'F, • . I
Comb. Sink a Traysl 111 To Curb,-•
Dental Units
Di•ihking,Fountains
l
Floor Drains WATER SYSTEM
Hoppers Y it Size
Restaurant Sinks• - ,Ir - I 1 1aterial
Sand Traps ' I TOTAL FEES
Urinals : A - :,11,Fixture Fee
Area Drains '+ Main-Draih
r#I"tz*Y II I 4
Water Leaders 'phi Storm Drain Fee
Sprinkler Vaives I."' 1 Water Sys-Jee.'I'
. sEw^_ ___ &'• '. pl i. Permit Fee r'
TOTAL •- rt TOTAL FEED."-:
';,,RECORD�OF INSPECTION ?`
Partial Rough s�,ri, +;l;• -
Rough Comple e `•b_ . �"
• Final �v y - -' �5..:.:. w''_.:.: