51087r
1 staLOT NO. 24
APPLIr ON FOR PLUMBING PERMIT
" < BSEP 14 1965 CITY OF CUPERTINO
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r o Sanitary No.
VMMV T,Ye M Il 11 wlM_, 1961 Permit No si a 7
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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 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 Owner Franklin-Bahl Const, AddressP•O.Box 911, Campbell
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Jz By CPnt.ral SarvirP Co. TnR, Address451 Queens Lane, J.
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3 r CONTRACTOR,AGENT
— Phone 29f=0556
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a WILLIAM D. SENEVICH
a State Liicnse Approved o 15
- V 1
PLUMBING INSPECTOR
FIX R .
UNITS FEES UNITS FEES
Water Heate J OC7 Size Nr VO
Water Closets 2A Material G
Bath Tubs t I To Curb
Showers V To Prop. Line
Lavatories 3 001 To Existing
Kitchen Sinks / 0t) Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
TVasll Trays _ STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material G M
San Traps TOTAL FEES
Urinals Fixture Fee 10. O J
Area Drains Main Drain Fee ;t Op
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee O
Permit Fee
TOTAL TOTAL FEE j OJ
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .