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® APPLI ATION FOR PLUMBING PERMIT
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,'AUG 13 1963 _ CITY OF CUPERTINO
r o Sanitary No.
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o e /`t `r 196, Permit No 7"
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Application is hereby made to the City of Cupertino for a permit to install plumbing
oa pipes and/or fixtures listed on the reverse side hereof, and agrees to, install said prices
> < and/or fixtures in accordancewith-ahe provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws art`plicable thereto.
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State License 10:7 ❑ "" -Approved
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PLUMBING INSPECTOR
'l. R ; UM E INDR�Si IN
UNITS FEES UNITS1 FEES
Water Heater t Size 44 1
Water Closets Materia; G y
Bath Tubs / To Curb
Showers J To Prop. Line
Lavatories To Existing
Kitchen Sinks 1 Not Conn.
Dish Washers / Sewer Boxes
Waste Disposals /
\v/ash Trays STORM DRAINAGE
Crashing Machines ( Size
\Cater Softeners Material
Bar Sinks To Main Drain
Comb. Sink % Trays To Curb
Dcnt UUnits
Drinking Fountains
Moor Drains WATER SYSTEM
Hoppers Size /N
Restaurant Sinks Material I coq
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
\Crater Leaders Storrn Drain Fee
Dptlnkler Valves Water Sys. Fee
Permit Fee
TO—L ' 7 11 TOTAL FEE
RECORD OF I PECTION
Underground Rough... — 3
.partial Rough.. ";2 f Rough Complete.. -
.Main Drainw),-,;25e- _
Final... ^