The URL can be used to link to this page

51181 Plumbing PermitI e-4 LOT NO. 21 NO. STREET APPLICATION FOR PLUMBING PERMIT p ' CUPERTINO wz S-3 fX x o Sanitary No. 3 Date 8196 �� :� Pcrmit No -S 4 w LL Pee $ '0 Applicati }}��``tt��er m jjpp,, jjiire Cit , of Cupertino for a permit to install plumbing o a pipes and/ c �CtClre 3 ec rRe��Sse©ide hereof, and agrees to install said prices and/or fixtures in accordance wrl I t e provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. w x T r Z) J Use of Premises 00 // n/ A 0 3 Owner O CONTRACT AGENT 3 W ,�aGO — Phone w z w f w u State License r�2 3 0 9Sa a O —U Approved PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN /-S'O Size UNITS FEES UNrrs FEES Water Heater Bar Sink /.S1 O Size Water Closet -Y y -SO Material e,:7. Bath Tub / .a -o To Curb Shower Floor Drain /•So To Prop. Line Lavatories 3 411-0 To Existing Kitchen Sink / /•So Not Conn. Dish Washer / - Sewer Box Waste Disposal / . �- Wash Tray STORM DRAINAGE Washing Machine /-S'O Size Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit ' Drinking Fountain Floor Drain WA'T'ER SYSTEM Hopper Size Restaurant Sink Material. Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee , r D Water Leader Storm Drain Fee $ rinkler Valve Water Sys. Fee /.,S-0 Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee Total I // I 14 -,5 -ell Total Fee S I