51099.1 10355 I El Prado Way LOT No. 1
NO, STREF.I'
P N FOR PLUMBING PERMIT
CUPF.RpTINO
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Y ° anitary iNn.
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° a Da 1970 Permit No. "99 r/
3 w T Ut> 6iR4JFY� Pee $ M
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l ca is Ie City of Cupertino for a permit to install plumbing
o < pipes and/or fixtures fisted on the reverse side hereof, and agrees to install said prices
r 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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a Use of Premises Duplex
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3 Owner Perrotti Construction Co. Address 2225 Grant Rd:t,kos Altos
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o By W. L. HICKEY SONSr INC. Address190 Cornmerci_alr Snn ;wale
CONTRACTOR, AGENT
3 < Phonr 736-4938
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0. < State License 99122 Approved
f � PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
11
Units Fees Units Fees
Water Heater. Size1411 1
Water Closet 1/..-)dl Material
Bath Tub da I To Cur
Shower 13Z-011 To Pro-p.Line
Lavatories To Existiniz
Kitchen Not Conn
Dish Washer 11
Waste Disposal a - q,gyp
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
Restaurant Sink Material
Sand Trap T AL FEES
Urinal Fixture Fee 2700
Area Drain Main Drain Fee
Water Leader Storm Drain Fee
Sprinkler System Water Sys. Fee 3•oD
Relief Valve 11 C..�Fee
0
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee o .Ov
Total Total Fee -40