1536-PLUMBING PERMIT1
NO. STREET
_ .1 FOR PLUMBING P MIT
,..1 OF CUPERTINOGi
c a
Date f MAY 10 1962 95 Permit No.
t� S-�
CITY OF LUPE�TI�p Fee ��
Application Is hereby Iriade 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
Qrs and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
AOwner Z�hAddress Os
By Address ��'� Igo
AGENT
�`f Approved
Phone d
PLUMBING INSPECTOR
I UNITS I
FEES II UNITS I FEES
Water Heater I
Size j
Water Closets I j
jj Material CPjq4j
Bath Tubs j
jj To Curb j j
Showers
To Prop. Line j
Lavatories j
Kitchen Sinks
Dish Washers j j
jj To Existing
No Con .
jj SEWER 9oxEs jI 15b
Waste Disposals j j
jj j
Wash Trays j j
jj STORM DRAINAGE
Washing Machines j j
jj Size
Water Softeners j j
jj Material
Bar Sinks j j
jj To Main Drain
Comb. Sink & Trays j j
jj To Curb j
Dental Units I 1
II I
Floor Drains WATER
Hoppers j I j Size
Restaurant Sinks i ( jj Material
Sand Traps i j jj Z
Urinals
Fixture Fee j25-0
Area Drains j
j jj Main Drain Fee
Water Leaders j
j jj Storm Drain Fee j
Sprinkler Valves j
j jl Water Sys. Fee j
Permit Fee
TOTAL
TOTAL PEE 41 , 'o
OF �NSSTION
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No.______
PRO" Plumbing Final Plumbing Permit No. -J-.............
----7
Loto- -- ----- -----------------
Owner or Tenant --- '-------------------- - :?-. .740 ------ ---
-----------------------------
At--�,t-__. ----i;:5�
-
Tract
�- `
Date Connected — // ------------------------------•------------------ ---- 194--
Date Final ---•-------------------•----------------- !' 19._3
PLUMBING INSPECTOR
111 7/61-500