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1501 (2) An/ I /L/lf.9U/l s .0/l/lit_ LOT No. .2j NO. STREET D a1FOR PLUMBING PERMIT I OF CUPERTINO +y i APR 17 1962 Date 19Kz Permit No.__�✓O� CITY OF CUPERTINO Fee $ y 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 or fixtures in accordance and/ es cco dance with the provisions of the Plumbing Code of the G of I� g � Cupertino, and all other laws applicable thereto. L Use of Premises— Owner remises Owner 0Pr/l ur Address CvP`2?ivo 'By /0U.GOv P A/XfY'V/- Addr > r CONTRACTOR, AGENT Phone J 7 -E/// App rov r- PLUMBING INSPECTOR rO 41 URCS UMBER 11 7� iUNITS1 FERS: UNITS I FEES I iWater Heater, size Water i-Cl Sets 3 Material C I -6ath Tubs To Curb -Showers To Prop. Line To Existin kitchen Sinks Not con. OisS Washers Vaste—Disposals I -Wash Trays STORM DRXINAUL Washing Machines Size 'Water�Softeners Material To Main Drain T-o—mE S,�nV&Trays To Curb Dental U n—iI s —1 rDrinking Fountains Floor Drains WA,]TR SYSTEM -- i Hoppers Size 1�77' 1-11 [,Restaurant Snksr Material d;jlv., ,-San, , raps TOTAL; EELS U i als Fixture Fee i,Arqa Drai Main Draih Fee Storm Drain Fee Water' Leaders p,r J41ter Valves Fee —���W.Tter Sys: oo Permit Fee, o U 1.TO-TA L A7 TOTAL 11EE /71, 00 -�R C R D� I El (c---.'rI 10 N [ ' 'Rough Roujh Complete�:O Rail / ( ƒ � } 7 ƒ : !17 � ` � \ ; `� \ ( } - rm 0 z 4A 00