51187 (2)./.351 ��Li � 64// ' LOT NO. �G,7
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PPLICATIONI FOR PLUMBING PERMIT
APR ,r j�s8 CITY OF CUPERTINO
L1.
1 y
� Sanitary No.�/-
Date.- Maroh 2-1 196' 116— Permit No 7
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
Cupertino, and all other laws applicable thereto.
Use of Premises
Dwelling
Owner Ditz Crane Co. Address 2295 De La Cruz Blvd.
By Palm Plumbing Co.
CONTRACTOR, AGENT
Phone911r,_937
State License 186579
—U�
Address 1.2311 N. HW 9
WILLIA7A D.
JC PLUMBING INSPECTOR y
Washing Machine Size
51 ze
Water Softener Material
FIXTURES
NUMBER
MAIN DRAIN
Comb.Sink & Tray To Curb
UNITS FEES
UNI S FEES
Water Heater
Drinking Fountain
Size —
Water Closet-
Main Drain Fee �9
Material
Bath Tub
Sprinkler Valve
To Curb
Shower
/
To Prop. Line "
Lavatories
-2-
To Existing
Kitchen Sink
/
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
11 STORM DRAINAGE
Washing Machine Size
51 ze
Water Softener Material
Bar Sink To Main Drain
iMaterial
Comb.Sink & Tray To Curb
Dental Unit
TOTAL FEES
Drinking Fountain
Fixture Fee
Hoor Drain
nopper
51 ze
Restaurant Sink
iMaterial
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee �9
Water Leader
Storrs Drain Fee
Sprinkler Valve
Water Sys. Fee I/ oZ1
Total Total Fee