51087 T'1;hria Vista lace
LOT NO. 20
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APPLI ION FOR PLUMBING PERMIT
" < ISEP ]. 4 1965 ` CITY Or CUPERTINO
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r o Sanitary No. -y
3ITY, Of }F@W _ !,Ak �, 196-5 Permit No, s O
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i 4 Pcc $ / j�9 0
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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Use of Premises
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P.O.Box , amp ell
a Owner FranklinmBahl Const. Address i L&&A),1kFAa
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o By central Service Co. Inc. Address451 Queens Lane, S. J.
3 r CONTRACTOR,AGENT
— o Phone 299-0556
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a o State License 171537 Approved WILLIAM D. T3 NEVICH
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1 PLUMBING INSPECTOR /
FIXTURES , BER MAIN
UNITS FEES UNITSI FEES
Water Hea[e I Size 04 � � O0
Water Closets 'z Material
Bath Tubs To Curb
Showers U 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
Com Sinks-Tiays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material G. L
San Traps TOTAL FEES
Urinals Fixture Fee Q °U
Area Drains Main Drain Fee oU
Water Leaders Storm Drain Fee
Sprinkler Vatvcs Water Sys. Fee JU
Permit Fee 7, o u
TOTAL / TOTAL FEE UL7
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final