51087 107 I Vista Dr. LOT NO. 12
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APPLI ON FOR PLUMBING PERMIT
ISEP 14 1965 CITY OF CUPERTINO' �
ro Sanitary No.
3 O. p. 196L� Permit No S� �7
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ww 1 UP VUfL Pee $
10
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
> r- and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other haws applicable thereto.
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w Use of Premises esl gy'1_Ce
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r 3 OwnerFrankliTt—Bahl Const. AddressP•O.Box 911, Campbell
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Jo By Central SPrVi_GP Co_ Tnc_ AddreSS4511 QllPans Tana J.
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3 F CONTRACTOR, AGENT
— m Phone 298-0556
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u f State License 171537 Approved WILLIAM D. DENEVICH
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( PLUMBING INSPECTOR
1? RNU, --IqAIN DRAIN
UNITS FEES UNITS FEES
Water Heate eu Size " " "
Water Closets .z a•o Material C. ,-
bath Tubs I ! pp To Curb
Showers / Q• To Prop. Line
Lavatories 3 Z n To Existing
Kitchen Sinks ( I)tNot Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines O Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size 0 V
Restaurant Sinks Material e— L
San Traps TOTAL FEES
Urinals Fixture Fee 11
rea Drains Main Drain Fee b C
Water Leaders Storm Drain Fee
5prioklcr Valves Water Sys. Fee /, D b
Permit Fee D�
TOTAL /Q TOTAL FEE p D
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final