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1424 (2) p 0 0 /OJ -7 0 LOTNO. NO. S R PLUMBING PERMIT ` •( i ERTINO t�l�..: 6 i9� I!i Date 195_ Permit No. CITY OF CUPERTINO pee$ /9, sn 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 V Cupertino, and all other laws applicable thereto. v � o 8 Use of Premises v Add Owner o Address � ��L�% 0 By AddresC "I s CONTRACTOR, AGENT B phone /l/ Approv PLUMBING IN111CTOR URES �BERD MAIIN JLAIN I UNITS I FEES -- I UNITS 1 FEES /1 ,Water,Heater Site V Material 17 'W---7CF (!. .� I ath':T' bs To Curb Sh- em 10 Prop. Line ,Lavatories To Existiri ,&itichen Sinks No - n Dish Washers Waste Disposals as � rays STORM DRAINAGE ;Washing te _Nfachisnes-1— ISite d a -Softeners Material Bar Sinks To Main Dra.inJ To Curb ,.,c, b.,Sinlc &Trays Dental Drinking Fountains-- �'Floor Drains WATER SYSTEM Hoppers eria1 ,8L,&,/ estTu+rant-S—inks TOTAL r,YLLN Urinals Fixture—Fee '- ea Drains ffr—ain,., Main Drain Fee, 0 `W, AtcT Leaders Storm Dram 1-ce ,Srtmkl,, Na,,es Water Sys. Fee ' 6P `'tea aie _46 11 Permit Fee /, 00. ;TOTAL 114..5oll I OTAL TEE /r9 ,s'0 VC RD 0 IN E ION Mrt'ial Rough a .2- rw -Z,