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1937 (2) lr l 8 GAN �2-• LOT NO. NO. STREET Lf FOR PLUMBING PERMIT OF CUPERTINO Dat � WRT�v�3 19 3 Permit No. ` Z7 �,�Y; OF CUPEPTII Fee /l�• o A ca on Is hereby ma a to a City of Cupertino for a permit to install plumbing r 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. - L' Use of Premises •a h Owner Address By r — dikAddress/ CONTRACTOR, AGENT Phone O Approve 'WIRING INSPE OR 1 UR Ub BI Ii�-- M I �R -- I UNITS FEES I UNITS FErS`' Water Heater I !•00 Size "' f Water Closets 1 �, •0011 Material- -C't Bath Tubs •.3 1 To Curb' Showers !•o OI To Prop. Line X Lavatories —�' z,pp�� To Exrstmg ,, chen-Sinks / I t- ooll Not _'or), Dish Washers ISEWER__�_ Waste Disposal Wash Trays STORM DRAINAGE Washing Machines 7-6-011 Size Water. Softeners Material, ,Bar Sinks Main Dras I Comb. Sin &T&Trays 11 To Curb a Q�c a'1 Units I �_�,5 Drinking Tountai ns l I, Flopr-Drains �� WATER SYS'I�,EM 4loppers Size .Restaurant Sinks erlal COO r Sand Traps TOTAL FEES Urinals 1�Fixture Pee DO Area Drains Main Diaih Free I 400,'- Water Leaders Storm Drain Pace x Sprite nkler 1Jawce �� V(/etei Sys FCeca ' Permit `Fee FZN05C ": TOIL TOTAL` FEE4- RECORD ' - I:CTION- u - I r Rough Cornplet — z � � � 9