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511820 eg _ Lot No. ,i .. APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO Sanitary No) -� S/i 01 L Date , 196_ r+ PermitiNo. Fee S U d Application is hereby made to the City of Cupertino for a permit to install plumbing 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 Cityof Cupertino, and all other laws applicable thereto. Use of Pre�misises Owner BY �.9.•i�v///r> ' Contractfir, Agent Phone '�' State License 1 '6.1 Address Address/,- tJX !�--IT ,�y�S l9io-t ,/--LS . Approved Plumbing Inspector FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub Shower Prop. Lavatories Kitchen Sink Dish Washer rNotConn. Waste Dis osal Wash Tra AINAGE Washin Machine Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Relief Valve Ga� Fee Vac Breaker Skimmer Filter Permit Fee Total Total Fee 2/438 I MA t� V\ LOT NO. 9z NO. STREET v/ _ A(o5 APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO 577'10 Q Sanitary Nn. ,� a ,196 Permit No J511p9�AUL? }pr,�,�L'A� Fee q�0Applications NRb}' the City of Cupertino for a permit to install plumbing iges and/or fixtureslist+!f, the reverse side hereof, and agrees to install said prices 3rdj/�QJi'xtyrg in accordance with the provisions of the Plumbing Code of the City of Cupertino, 3n� rjglJ er„ laws applicable thereto. Use of Premises Owner-+ m—r on 1. EJ A t- , z DyV6,1- Qpm an O CO NTRACTOR, AGtiNT 3 r —ua, Phone -2.96' i941� w Z ¢f State License 175z99 Total FIXTURES NUMBER MAIN DRAIN UNITS F FEES UNITS FEES Water Ileater 0 Size Water Closet Material Bath Tub I O 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 / , SV Size - Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size 11Restaurant Sink Material Sand Trap TOTAL FMS Urinal Fixture Fee Area Drain Bain Drain Fee 0O Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee . '0 Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee , .6 O Total