51087 10787 I Linda Vista Dr, LOT NO. 10
STREET
I ION FOR PLUMBING PERMIT
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CITY OF CUPERTINO
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x BSEP 14 1965- sanitary- yn.
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0 -i Uate SBFlt, 13 , 196 Permit No
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_"CITY 4F .CUPE�TINP Fee 5 �.{=
App icahon is here y ma e 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
U) Cupertino, and all other laws applicable thereto.
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LL Use of Premises Re.S1S�8IIC_G>
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3 OwnerFrankl* Bahl Const. AddressP.O.Box 9110 Campbell
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By rgptrat Service ro Tnr., Address]-51 .(ZtzPans Tana-R.T.
3 0 CONTRACTOR, AGENT
w i Phone 298 0556
W W WILLIAM D. DENEVICH
a a State License 171537 Approved
U PLUMBING INSPECTOR
FIXTURES NW BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate I p Size k" 0V
Water Closets 2.. 2 04 Material G
bath Tubs To Curb
Showers ( To Prop. Line
Lavatories 3 t)t To Existing
Kitchen Sinks ea Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines 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 ( rp v
Restaurant Sinks Material (�pL
San Traps TOTAL FEES
Urinals Fixture Fee b. 0
Area Drains Main Drain Fee 7 ,
Water Leaders Storm Drain Fee —
Jprinkler Valvcs Water Sys. Fee I , 90
Permit Fee x„0
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
'Iain Drain
Final