51087 (2) LOT NO. 11
® APPS CC�ATION FOR PLUMBING PERMIT
.z i. I S EP ]_ 4 ]965 CITY OF CUPERTINO
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30TVitj5eMj4?M1NO 1965 Permit No �/ d e 7
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Fee $ 00
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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
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
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.w Cupertino, and all other laws applicable thereto.
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Use of Premises Resi r3anra
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3 OwnerFranklin-Bahl Const. AddressP•O.Box 911, Campbell
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zByGentral SPyi . . Co. IncAddress451 Queens Lane, S.J.
o CONTRACTOR, AGENT
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— w Phone 298-0556
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O s State Licence 171537 Approved •.,1,_y_r nnn n rFNr--VICH
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U PLUMBING INSPECTOR 4�
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FI, R NUMBER
UNITS FEES UNITS FEES
Water Heate I Oo Size (,r ri IL
Water Closets z, y ,0 Material L
Bath Tubs It on To Curb
Showers To Prop. Line
Lavatories e o To Existing
Kitchen Sinks / 2 3,7 Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines / v Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sinks Trays To Curb
Dental Units
Drinking Fountains
I loix Drains WATER SYSTEM
Hoppers Size / (�
Restaurant Sinks Material d/L
Sand Traps TOTAL FEES
Urinals Fixture Fee I t1 w
Area Drains Main Drain Fee c0
Water Leaders Storm Drain Fee
Sprinkler Valves Watet Sys. Fee f,Q L
Permit Fee ;?VC
TOTAL C TOTAL FEE p�
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
\'fain Drain
Final