51087 J
1 Vista Drive LOT NO. 26
APPLI '9�� ION FOR PLUMBING PERMIT
" a SEP 14 1965 CITY OF CUP17RTINO
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>0 I WeG"i`en� rt:il7i W196d Permit No &—ld
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i a Fee $
0 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
i 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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� LL Use of Premises Residence
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3 OwnL#ranklin-Bahl Const AddressP•O.Box 911, Campbell
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3 r CONTRACTOR, AGENT
- 0 Phone298-0556
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171537
a o State License Approved
WILLIAM D. BENEVICH
1 iU PLUMBING INSPECTOR
FIXTURES
UNITS FEES UNITS FEES
Water Heate Gu Size 4 O�
Water Closets �„ a Material Cr
Bath Tubs l vy To Curb
Showers � To Prop. Line
Lavatories 00 To Existing
Kitchen Sinks ] / , 0, Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
\rf/asli Trays STORM DRAINAGE
Washing Machines —Lot) Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material y
San Traps TOTAL FEES
Urinals Fixture Fee tn p p
Area Drains Main Drain Fee Z p V
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee p
Permit Fee 2 0-O
TOTAL e• TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough '
Rough. Complete
Main Drain
Final