51234 1()139 So Blaney LOT NO. 9
NO. STREET 1 _ Rs
OTY OF CUPS MO CITY OF CUPERTINO yy_
" < APPLICATION FOR PLUMBING PER5011T 83
xa JUN 8 1971 Sanitary No.
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O U, Mah,T�211 19 Z 3Permit No -r1
6 LL1—� Pee $
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� Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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4 Use of Premises Apartments
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7 N ^_
r 3 Owner�'rZ0M6 RRaite Address 10159 Sn, Rlangr
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J, By San Jose Mechanical, Inc. Address 1665 Rogers Ave. S.J.
o CONTRACTOR, AGENT
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- Phone 275-901aL �a.�✓wfb4NN
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2611285
a o State License. Approved
U PL[)j��NG INSPECTOR
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FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater l /.50 Size y" °•
Water Closet (n 9.oz, Material c /
Bath Tub 6 1.0.41 To Curb
Shower To Prop. Line
Lavatories L oo To Exi stin
Kitchen G 9.410 Not Conn.
Dish Washer
.Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size i"
Restaurant Sink Material G'q.y
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee S aO
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee So
Relqef Valve Gas Fee
/• SO
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee 1,oU
Total A7.50 Total Fee .S