51087 22076 T inrla Vi stg Plqnp PlanLOT NO. 1,5
NO Q F.
® N FOR PLUMBING PERMIT
�' a CITY OF CUPERTINO
w ISEP 14 1965
O is. sanitary o.
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O w Date SePt. � 1965 Permit No
50 CITY OF CUPERTINO 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.
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a Use of Premises Residence
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3 Owner FrankliA—Bahl Conat _ Address P-(1 Rnx 911 —amphell
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B�entral Service Co. Inc, Address451 Queens Lane, S. J.
CONTRACTOR, AGENT
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- Phone 2 9$0556
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a a WILLIAM D. HENEV C
O f State License� �7 Approved 1 H
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—y,U PLUMBING INSPECTOR
FIXTURES
UNITS FEES UNITSI FEES
Water Heate 0;j Size Aq
Water Closets Z e Material G
Bath Tubs / o o To Curb
Showers / v To Prop. Line
Lavatories Zdo To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines u C Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sinks Trays To Curb
Dental Units
Drinking Fountains
Moor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material &1A
San Traps TOTAL FEES
Urinals Fixture Fee !k%. bo
Area Drains Main Drain Fee v,r
Vv-ate,Leaders Storm Drain Fee
Sprinkler valves Water Sys, Fee 1_C 0
Permit Fee z,Cj )
TOTAL I TOTAL FEE Op
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Hain Drain
Final .