51201 Plumbing Permitna�,`.) Ik Lucille Drive LOT NO.
NO. STREET
P KATION FOR PLUMBING PERMIT
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a �C(TY�bP CUPFRTINO
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o Date 724/6$ 196— Permit No
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0 Appllc ion isfher�By���add,tithelCity of Cupertino for a permit to install plumbing
`o 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
I
w Cupertino, and all other laws applicable thereto.
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Use of Premises 120 Unit Apt.
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3 Owner Stoneson Const. Corn_ 1 Address 204.30 Tatum CenYnr
°j Lane Cupertino
B}, Winchester Plu-nbing Co. Address 1217 Del! Ave.
CONTRACTOR,AGENT
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:Cam,,Phone 378-7615 pbell
State License C 210245 Approver
- PLUMBING. INSPECTOR
FIXTURES I NUMBER MAIN DRAIN
ONITS FEES TIN!
Material
Shower
Kitchen Sink 17-V f 96. u SNot Conn. I
Dish Washer ewer Box
Waste Disposal
Material
Comb.Sink&Tray I 1 11 To Curb
Floor Drain
WATER SYSTEM
Hopper
Size
,Bestaurant Sink
Material
Sand :Crap-
- TOTAL FEES
Urinal
Fixture Fee,
—0
Area Drum
/ i Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Cas Fee
y y Q
Vac Breaker
Skimmer
Filter
Permit Fee
o l ORS-
flTotal
Total
9760 Total Fee
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