51087 (3) 10 ► .LINDA VISTA DRIVE or No.
NO.
STR F,F.I.
APPLICATION FOR PLUMBING PERMIT
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w —` — - ,i Jf a`I� OF CUPERTINO
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x o Sanitary No.
a j Date EI
Vr r�.Stp i1.96 7 Permit No, ^� 7
3 < 3 ' lnnt u,.
w Pee 5 3.50
10 ',"
Application ii I by r�{r�the City of Cupertino for a permit to install plumbing
o < pipes Qndfoi fixttntes�l�su-P�j$(l9iel're)erse side hereof, and agrees to install said prices
'z < and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a ) Cupertino, and all other laws applicable thereto.
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4 Use of Premises HOUGExULTD
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3 Owner DONALD STAPRd Address 10716 LINDA VISTA DR.
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z By SOFTa1AST'ER, INC. Address 1150 DELI, AVE., CIVYIPDELI,
CONTRACTOR, AGENT
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— W Phone 379-5050
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a o State License ? 9R1 Approved
—V'/ PLUMBING INSPECTOR
FIXTURES
UNITS FEES UNITS FEES
` .rcr Heatc Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
\Y/as-Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
Toot Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
Sand-Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
ZWater Leaders Storm Drain Fee
Sprinkler Valvcs Water Sys. Fee
Permit Fee
TOTAL ITOTAL FEE .5. Q)
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final