51001.2 LOT NO. 13
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4XINPPEICATA FOR PLUMBING PERMIT
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w ` ® AUG 17 1966 QTY OF CUPERTINO
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x o Sanitary No,
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o j Date 196 Permit No
CST Pee S
o Application is hereby made to the City, of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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a Use of Premises Residence — Lot 13
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aa Owner Franklin"-Bahl Dev. Address P.O. Box 911, Camcbel]
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O By Central Service Co. Address 451 .Queens Lane
3 F CONTRACTOR, AGENT Jan Jose
- Phone 298-0556
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s State License ./ _';z Approved
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U PLUMBING INSPECTOR/
HX I URLb NUMBER
UNITS I FEES UNITSI FEES
Water Heate ,oP Size 114
Water Closets 3,0 Material
Bath Tubs ,00 To
Showers of o Propt. i
Lavatories o a mg
Kitchen SinksIr, oo Not ,' nn- u
Dish 'Washers Sewer, Bozes
Waste-Disposals `+
Was'h Trays STORM)DRAINAGE
Washing Machines roo Size y •'.
Water Softeners -,Material n
Bar Sinks Co Main Drain
Com . Sink s Traysrturb ,
Dental Units
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Drinking Fountains o
!Dg
rains ^ ATER SYSTEM
Size
nt Sinks hfaterialps +a TOTAL FEES
�hixture Feeains ain Drain Feeeaders Storm'Drin Fee
valves Water Sys. FeePermit Fee; �.croTOTA3.06 TOTAL FEE Z0
RECORD OF INSPECTION,,i
Underground Rough
Partial Rough c:
Rough. Complete
Main Drain
Final