51167.2a��l hili I .� �yf.(y?rhb/s- ind. LOT NO.
NO. EF.T
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
U7 ;�'r' N SanitaryNn. s�y
Dat'JUL
r `r1 1968 Permit No -5 7' —
t J U L J 1 1968 Fee S=2�
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes, and/or fixturreslisted on the reverse side hereof, and agrees to install said prices
�ind�or-.fi,xtures, rziI ccPrdaince(with the provisions of the Plumbing Code of the City of
Cupertino, and ail otfier fas'vi'applicable-thereto. -
Use of Premises dwelliug
Owner Ditz Crane Company
B Palm Plumbing Company
By CONTRACTOR,AGENT
245-2323
State License 186579
225 De La Cruz Boulevard
Address
s3unrgvale-Saratoga Road
Approved /
PLUMBING INSPECTOR
X VVV ' /
J
FIXTURES NUMBER 11 MAIN DRAIN
UNITS1 FEES 11 UNITS I FEES
Shower I / 1 11 To ProD. Line I v
Not Conn.
Sewer Box
Wash
WSink So
�� Material
Bar nk 'l'o Main Drain
Comb.Sink &'fray To Curb
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
as Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total Fee