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NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Dite�Fl �Z t q7 196— Permit No
/.3�
tee $
Application is%herebyfmade:to the
pipes and/or fixtures tlisted on`the
and/or fixtures in accordanceh t
Cupertino, and all other laws P9
Use of Premises
By 1'C nt:v (lr l 7a2�c
itino for a permit to install plumbing
-reof, and agrees to install said prices
of the Plumbing Code of the City of
Address / —3 A� r)y �Q�/,A
Address X7.7-'7''L-u�ACur �4 �t�,
PhoneAi-')1—%0=��— r
(G-/LJaa�
$tate Licens 3 - Approved
CONTRACTOR, AGENT
raps
Urinals Fixture Fee
• SL'
Area Drains Main Drain Fee
VVater Leaders Storm Drain Fee
Jprinkler VaNcS Water Sys. Fee
Permit Fee
TUTAL 11 11 TOTAL FEE 3. Y -D
' RECORD OF INSPECTION
-7/Y 3 �5&F a ZO lLs2/ ,t .J� LOT NO.
NO. STREE.I'
JAM I 1I POR PLUMBING PERMIT
.z a OF CUPI]RTINO
w ?rJUN
- 3 1966 sanitary No.
3 a Date s 1964::Permit No"Ile %
U Fee $ O
= 0 TY . OF C�JPE�Tlgp
° Ip kation Is here y ma e to e 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
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a Cupertino, and all other laws applicable thereto.
DweLLing
wi
a Use of Premises
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3 Owner Dita-Crane Co. Address P. 0. Box 509 -San Jose
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By Palm Plumbing Co. Address 1234 N. H' 9-SumVvale
O CONTRACTOR, AGENT
3�
— Phone pJ-2323
a a State License 186579 Approved� C
U� PLUMBING INSPECTOR
nes
rant
older Valves
UNITS I FEES
Sewer
ze
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final
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LOT NO.
iv0: • ,'1 REET
y A-PPLICATL0��1• FOR PLUMBING PERMIT
I -Y�, OF CUPERTINO
J � Y1,
=' r Sanitary No.
196— Permit No. C�
_ a Fee
Application is hereb o'4- he City of Cupertino for permit to install plumbing
Pf Y� �`�,� �, Y P P P, g
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.
Use of Premises
Add
By Address
CONTRACTOR, AGENT
Phone���}�'
State License. ApprovedLl/
/ PLUMBING INSPECTOR J
FIXURES
NUMBER
UNITS
FEES
UNITS
FEES
Water Heate
Size
Water Closets
Material
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Com . Sink & Trays
To Curb
Dental Units
Drinking Fountains
Floor Drains
WATER SYSTEM
Hoppers
Size
Restaurant Sinks
Material
Sand Traps
TOTAL FEES
Urinals
Fixture Fee
�r
Area Drains
Main Drain Fee
�UWater-Leaders
Storm Drain Fee
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE i
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough: Complete
Main Drain
Final
NO.
LOT NO.
PLUMBING PERMIT
`NOV 22 9-66 �J Sanitiry No.
Date , 196— Permit No S7/6 %
OF CJPERTFee $ J �3
Application is hereby made to the Mot 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
Cupertino, and all other laws applicable thereto.
Use of
State
Address—/Y7i� Z
Approve/,/,X/
cONTR ACTOR, AGENT
ate;
Hcnter
raps
Material
rinals - Fixture Fee
rca Drains Main Drain Fee
[V—VaterLeides Storm Drain Pee
prinklcr Vmves Water Sys. Fee
Permit Fee
'"TOTAL I 1 11 TOTAL FEE :�a 0
RECORD OF INSPECTION