NO PERMIT NUMBER16
LOT NO. J
NO. STitEEI'
APPLICATION FOR PLUMBING PERMIT
CITY OP CUPERTINO
Sanitary No.
Date � . A�Y
Application is hereby made,k 2h C
pipes and/or fixtures listed on C c rs s
and/or fixtures in accordance
Cupertino, and all other laws . lic In�lct'thr
Use of
State
Permit No
Pee S �0 °=
f ermit to install plumbing
a rees to install said prices
the I bing Code of the City of
PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS I FEES UNITS I FEES
Water Closet
Bath Tub
y'o O I
I'ro Curb
Shower
2,
O 0
To Prop. Line
Lavatories
67,o b
To Existing
Kitchen ink
J • O
Not Conn.
Dish Washer -
—
Sewer Box
Waste Disposal
—
Wash Tray
I
Sd
S'CORM DRAINAGE
Washing Machine
.3. n 0
Size /
Comb.Sink&Trav I 1 11 To Curb I / [�-
Floor Drain
ze
Area Drain
Water Leader
Vac
Total `f,,51 I Total Feec�LO o 0 1