51087 Y '
(1 LOT NO. 13
NI� o AP'3PLICATION FOR PLUMBING PERMIT
w SEP 4 1965 CITY OF CUPERTINO
x p Sanitary No.
1965- Permit No
iLL Pees
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
iand/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w i
LL Use of Premises Residence
00
3 OwnerFranklin-Bahl Const. AddressP,O.Box 911, Campbell
oa
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� , By Cant.ral Service Co. Inc, Address 451 Queens Lane ,_S,J.
O CONTRACTOR, AGENT
3 �
- w Phone 298-04.56
. z
iLi�.L.:"' ; D. C<.[�1t.VICS
< 0 State License 171 ? Approved
U PLUMBING INSPECTOR
IlIXTURES NUMBER
UNITS FEES UNITS FEES
Water Heate n 0 Size Ll 0 0
Ware, Closets z 0 c Material C
Bath Tubs 0 p To Curb
Showers 0 To Prop. Line
Lavatories 3, p To Existing
Kitchen Sinks It Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines I f Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
I-loor Drains WATER SYSTEM
Hoppers Size t ' (.
Restaurant Sinks Material 6�qL
San Traps TOTAL FEES
Urinals Fixture Fee 01,
Area Drains Main -Drain Fee 2 00
Water Leaders Storm Drain Fee
Sprinkler Valvcs Water Sys. Fee �, p
Permit Fee 0'0
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final