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R PLUMBING PERMIT
CI f3F CUPERTINO
APR 24 1962
Date 4A,9/1- 20 19$�� Permit No. �SbQi
CITY OF CUPERTINOa °O Fee$
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
V Cupertino, and all other laws applicable thereto.
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f2 Address LL
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Phone i 7k-�//1 Approve
PLUMBING INSPE
UR :S NUMBER M I D ATI�
UNITS i FEES 11 1,UNITSI FEES
-
Warer Heater Size rl
Water Cosecs �� Material C/ j
Bath-Tubs To Curb j
Showers J �� To Prop. Line
Lavatories y j� To Existing j.
Kitchen Sinks / J �� No n 1�
Dish Washers �I �.
Waste Disposals
Wash Trays _ STORM DRAINAGE
Washing Machines j jj Size j
Water Softeners j j� Material j
Bae Sinks �� To Main Drain
Comb. Sink a Trays j jj To Curb
Dental Units - '
Drinking Fountains .
Floor Drains' j �� WA FR SYSTEM
Hoppers Size_ �" . j, j
Restaurant Sinke j 11 Material 6,�sv. I j
Sand Traps �j TOTAL FEES
Urinals j j� Fixture Fee //, d 0
Area Drains j Main Drain Fee j /, o O
Water Leaders11 Storm Drain Fee
Sprinkler Vaives j j I Water Sys. Fee j o 0
Permit Fee o u
TOTAL ,rp, TOT AL FEE IV,, o a
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Final i
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