NO PERMIT NUMBER (3) SDI 4 185Z
NO. STREW'
APPLICATION FOR PLUMBING PERMIT
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r o Sanitary No,
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o a Date �� 196 Permit No
3 LL Pee $-
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Application is hereby mVaN
u h or a permit to install plumbing
o r pipes and/or fixtures bste re d agrees to install said prices
and/or fixtures in accordath the provisions of F� lumbing Code of the (aty uC
a wCumrtino, and all otl'� b eI ep° l 1708
~ Use of Premises
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Owner�Z CUPERjM aYUO.So � n
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3 oCON'TRAC'TOR, AGENT 625 CharlOS Street
— Phone Z9/- OS'S� tae California 95112
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II i U State License 1715 !3Approved
Y PLUMBING INSPECTOR
jjbFIXTURES NUMBER MAIN DRAIN
UN ITS FEES UNITS FEES
Water Heater Size 01'
'00
Water Closet Material �.
Bath 'rub To Curb
Shower To Prop. Line
Lavatories To Existing
Kitchen Sink Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Dr
Comb.Sink&Tray To
Dental Unit
Drinkin Fountain
Floor Drain WATER SYSTEM
Hopper Size /,SQ
Restaurant Sink Material �'9[,
Sand Trap TOTAL FEES
Urinal Fixture Fee 1.5-66
Area Drain Main Drain Fee _ Ir—11)0
Water Leader Storm Drain Fee
Sprinkler Valve Water Sys.Fee
Relief Valve Gas Fee SQ
Vac Breaker
Skimmer
Filter
Permit Fee a
Total Odli Total Fee :Ls-eo0