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2036 (2) /O 67& _I�1 JCS L��� ( }OT NO. CA [ NOCJy✓�®�i_S STREET , APPLICATION FOR PLUMBING PERMIT 'APR 2 9 1963 UITY OF CUPERTINO DaterxiTnr— �r!i�T:itis' 1963 Permit No. a 0 -F- VI11 1 uI �ne �,� .•• Fee $ 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. EllUse of Premises ll ^ I „4 Owner ��SS os'S Address L By _ A dress/;60 T� CONTRACTOR, ncexr Phone L 1 O�(-C o Approve PUI-SING INSPECTOR r FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater / Size Water Closets j j Material j C•,�-j Bath Tubs / To Curb j Showers / I jI To Prop. Line X Lavatories �, j j To Existin Kitchen Sinks j f Dish Washers SEWER BOXER Waste Disposals Wash Trays STORM DRAINAGE Washing Machines / j Size j Water Softeners Material Bar Sinks To Main Drain j Comb.-Sink&Trays To Curb Drinks Units Drinking Fountains, j II Floor Drains WATER SYSTEM Hoppers j j I —Sze —1 t , I_ Restaurant Sinks II Material Ioj Sand Traps j II TOTAL FEES Urinals1 II Fixture Fee I ( 'O Area Drains j j iI Main Draih Fee j Water Leaders Storm Drain Fee - Sprinkler Valves I I j Wate[ Sys. Fee I Permit Fee TOTAL 1 /0 jI TOTAL FEE /Spa RECORD OF TION Partial Rough - Rough Complete Final