51167.2/93o/I J EP.i' LOT NO.NO. G
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO �Y37 � Sanitary No.
Dat95� � 1968 Permit No ,% �/6 ' a
I
(JUL 1 1968 V. Fee d
Application is hereby made to -the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
Cup'e' t/fi and I�Mrdagws`!jth the provisions of the Plumbing Code of the City of
Use of Premises
By—
Ditz Crane Company
Palm Plumbing Company
O CONTRACTOR, AGENT
3 ` X1-5-2323
Phone
0.2 YState License
_I
Dwelling
229$ De La Cruz Boulevard
Address
l4d3d!} Sunnyvale -Saratoga Road
ess
Approved
PLUMBING INSPECTOR �/
FIXTURES NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water heater Z
Size
Water Closet s
Material 171.
Bath Tub
Io Curb
Shower
To Prop. Line r
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Wishing Machine
Size
Water Softener
Material
Bar Sink
'I'o Main Drain
Comb.SinkBTray
To Curb
Dental Unit
Ikinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
I Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee /
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total /
'Total Fee o c5�