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1820 (2) 171g1� ICl'I�� '`4?.il VIIvILOT NO. NO. STREET IN FR O'LIINiBING' PERMIT CITY OF PERTINO CZg'7 ) OCT 10 1962 / Date /n - 7— l4z Permit No. CITY OF CUPERTINO 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. Use of Premises s X0 es a v _ � Owner tO JH c����( Address gy Address , CONTRACIO , AGENT Phone.&, �Z /_ J i Approve T d v, M1_t� br s I 7 {� ' a (- Fk;: - - -PLUMBINGINSPE TO �'7gCT"A' ,.i.rtr .bp...) R �'9i� iti.}YI•�Y/^ 14-:_ �.�!I'ir* � � � FIXTURES NUMBER MAIN DRAIN _•' '. UNITS FEES IUNITS I FEES Water Heater I Size I.L T Water Closets ` Material �,;••;,� Bath Tubs To Gtirb_ 'w, Showers' To. Propi',Line Lavatories To Exist*n Kitchen Sinks No oon Dish Washers SEWER 80xE f Waste Disposals - Wash Trays STORM—DRAINAGE.. _T Washing Machines .Size Water Softeners Material Bar Sinks To Main Drain ' ^'�,z.• ' '". Comb. Sink a Trays To Curb I Dental Units e � Driir4irig Fountains) l I ,. 1 .Drains WATER SYSTEM �— Hoppers f Size Restaurant Sinks Material Sand Traps TOTAL FEES _` '• Urinals Fixture Fee '.. .I- .=-+' Area Drains Main Drain Fee Water Leaders _° Storm Drain Fee Sprinkler Valves Water Sys. Fee , - ��. 3.-,. . II Permit Fee I TOTAL, �4 "-Il TOTAL FEE cL R [ f Partial Rough R_�ugh complete • Final Q !✓ _ K. 7VL Bldg. Dept. Office Copy BUILDING I S ECTOR'S OFFICE Cl 1 OF CUPERTINO 9--S-e,wer Connection Sanitary Permit No. n Plumbing Final Plumbing Permit No. ------------------------------ ofNo. ..... ................ Owner or Tenant --------- — I A� Q-.-1(!i 1(!i 4 _L ----- ----- -- - At -------- ......... - ---------------------- Tract ---------------------- ----------- --Date Connected ........................... -------------------- — ....... ......... Date Final C-- pp 19- ----------- PLUMBING 41NPE III 7/e1-500 1� 11.