NO PERMIT NUMBER10460 I CastiNne Avenue LOT NO. 4
NO. STREET
z <APPN FOR APPLIANCE PERMIT
d Z OF CUPERTINO
XW '0
3 U Dat y 196— Permit No.
W a Fee I,S
° h $� y to the City of Cupertino for a permit to
o < nns[a 1 p% al c 9p f on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
„ = Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises Aesidence
00
'"3 Owner Ditz-Crane Address
O
°_j PLOG SHEET MOAL CO.
J, ByAddress
J °M&IGUMbIt Alf P. 0. BOX 97)
3 i=
-0
Phone
Z CAMPBELL, MIR 95008
o 1 State License STATE WNTRACTOWS Approved40
U Id LICENSE # 142642 -,"PLUMBING INSPECTOR
of Appliances Units Fees
Heaters
Furnaces
(NAME. TYPE)
Appliance Fees
NO. ` STREET
ARPLI ATI
AM ON
CITY
LOT NO. /
FOR PLUMBING PERMIT
OF CUPERTINO
Sanitary No.
a,e qS 14 Permit No
Fee '2�_.S 3
A pl' on[+� jM i the City of Cupertino for a permit to install plumbing
mie at� or kXidFe!-!�)thd n 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.
Use of Premises
Owner Ditz Crane Co. 72deSDe La Cruz Boulevard
E Palm Plumbing Co. 12.V, Sunnyvale -Saratoga Rd.
By CONTRACTOR, AGENT
Phone 245-2323
State License 186579 Approved•---!- %-- ~"
' PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water heater
/
Sine
Water Closet
Material
Bath Tub
/
To Curb
Shower
To Prop. ✓
Lavatories
To Existing
Kitchen Sink
Dish Washer
Waste Disposal
Wash Tra
MSewerBox
AINAGE
Washin Machine
/
Water Softener
Bar Sink
Comb.Sink&Tray
'Co Curb
Dental Unit
Drinkin Fountain
Floor Drain
WA'T'ER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water S s. Fec
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total Fee�j