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la.7.A APPLI_ C�4TION FOR PLUMBING PERMIT
® AM I ' ' CUPERTINO
Sanitary No. S d
Date 91 U Permit No. -�-//d�/
Pee -5-0
Applica he��jjpy �jjqq �j 4�tYnof Cupertino fora permit to install plumbing
pipes and ae t"C917istt m Ill FS 7gr"J 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 15-1--
--.— &sr���
By >�eq >'-�A.
LCONTRACTO , AGENT
Phone T/7s - d'o7 � o
AddressJA!e
Address /aLo' Z7''
State License a,3 O 2' o2 Approved
,� PLUMBING INSPECTOR 11/
FIXTURES
NUMBER
MAIN DRAIN
UNITS
FEES
UNITS FEES
Water Beater
/,o'o
Size 3
,ar
Water Closet
5�-SO
Material e
Bath Tub
A So
To Curb
Shower
/
„so
To Prop. Line
Lavatories
'/.So
To Existing
Kitchen Sink
_ /
/„}'p
Not Conn.
Dish Washer/
-
Sewer Box
Waste Disposal
z
Wash Tray
STORM DRAINAGE
Washing Machine
/.
1"5-0
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 6,/✓.
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
o
Area Drain
I
Main Drain Fee
a
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
p
Relief Valve
Gas Fee /,
p
Vac Breaker
Skimmer
Filter
Permit Fee
o0
Total
//
/G •
Total Fee �'
Se
ILOT NO
.
NO. s
w FAN 24 t BUILDING PERMIT
G CITY ``II'' CUPERTINOo<1968 U Sanitary No.
W Date 196Z Permit No.
zo
�n Application iserefa1d1,Ep k,'@i
t to
a /
i in a story, Type X, �/ Building
to be occupied only as t1Fle in accordance with
0 o plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee �
Estimated Value of Improvements, S Fee $ y.1//
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be co lied with.
3
_ Owner �/"" ►�� Addre
W
a By - �� 1 Addres
<U Phone
Approved
State License ��7�/ eut NG INSPFQ'OR
I o:
LOT
NO. STREET
APPLICATION FOR PLUMBING PERMIT
Y OF CUPERTINO
Sanitary No. L
Date —f92, 19 1 Permit No
.41JUN 131968 MFee
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and �i d toy}�ist e e side hereof, and agrees to install said prices
and/or fix`fur�in `ettord§7kt�siUB(Ircisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable. thereto.
Use of Premises
/��J
Owners
fiy �.TCONTRACTOj)R�, RGE
N'T
Phona
—
;R. s? L 5 U
State License 'Le' �
Approve d'vlf • r� n - ..
PLUMBING INSPECTOR
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water I[eater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
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
(topper
Si ze
Restaurant Sink
Material
TOTAL FEES
Fixture Fee
Main Drain Fee
der
E
Storm Drain Fee
alve
Water S s. Fee
ve
Gas Fee
er
Skimmer
Filter
Permit Fee
Total 07Total
Fee