51037 11146 Linda Vista Dr. LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
w 1 CITY OF CUPERTINO
w �
r o Sanitary No.
� LL
O a Date W
Z , 196 wnit No
3U
w LL Fee $��
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
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.
W
j LL Use of Premises residence
00
> 0
Owner V. Parks Address 11146 Linda Vista Dr.
Oa
�z By COAST WATER SOFTENER CO. Address 807 THE ALAMEDA
20 CONTRACTOR, AGENT
� r
— m Phone 25}5 34435
wz
W w
a 123403
0 F State License Approve
W"AMA4
< O
-0 PLUMBING INSPECTOR
FIXTURES 1
UNITS FEES UNITS FEES
Water Hcate Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash 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 -
San Traps TOTAL FEES
Urinals Fixture Fee
iA,'r'ea Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler ValvcsWater Sys.
4 Fee
Permit Fee —
TOTAL _ TOTAL FEE
RNSPECTION
Underground Rough...
Partial Rough.-
Rough. Complete.. --
Main Drain
Final---