1402 (2) Ju d3O I YIC�SBU/C LOT NO. 3
NO. STREET
® 1FOR PLUMBING PERMIT `
OF CUPERTINO
FEB 8 1962 1
Date .�EE' t/AR`.''.:T, 19KI- Permit No. 141e.2,
a CITY OF CUPERTINO Fee$ A,5io-
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
cr.`s and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
U Cupertino, and all other laws applicable thereto.
Use of Premises /rE /DML[--'
'a
h Owner L- I-JAI, /, 606006 rl-lir t T4. Address y u
By 0/1,04 ddress /
CONTRACTOR, AGENT _
Phone APProve
MBING INSPECTOR
I (J ES IBER —MN
ur-im I FEES IuNITS FEES
�Ylarer Hcatcr / I Size __iN
Water Closets �j II Material G !— —
Bath Tubs I 1 I To Curb
Showers I 1 I I To Prop. Line
--�—
Lavatories _ 2 To Ex g I
Kitchen'$inks I / Not Coon. . _ 4,
Dish W sshers I /
Waste Disposals
\`Dash Trays I / I I STORM DRAINAGE
-Ta--shingMaclunes-F Size
Water Softeners I I Material I I
BarSinks I 1 II To Main Drain i
Comb. Sink a TrayslI To Curb JI
Dcntal Units I I
Drinking Fountains
Floor Drains IF II WATER SYSTEM
Hoppers I �_� Size 3i IIT
Restaurant Sinks I Material GAL✓,
Sand Traps I I TOTAL FEES
Urinals I Fixture Pec /$.SJ
Area Drains I II Main Drain Pee'I 1 00
Water Leaders I I II Storm Drain Fee
Sprinkl�iVC9 I I Water Sys. Fee
��Y'wtrR H J`,a / 12 S'o I permit Fee / b U
' TOTAL TOTAL
RE OR OF TION-
Partial Rou� ,+L
Rough Complete _
Final
-
/
%
i ® .
n ;
/ [ § 2/
j I } 22 .