51039 LOT NO.
NO. STREET
D R PLUMBING PERMIT
z C[ CUPLRTINO
zi
x o ILA.g 12 1966 111�llpVVll�p�� Sanitary No.
0 a Date 196` Permit No
sl D,
W � � CUPERTINO Pee 5
x LL
O Appli n is eby ma e'to the City 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
i m and/or fixtures in acErdanith the provisions of the Plumbing Code of the City of
a Cupertino, and al otppli b thereto.
wx C
I LL Use of Premises
00
> �
3 Owner a ress
Oa
Z J /t
z By Address C
O CONTRACTOR, A E
3 � 3 - oil
— m Pho
, z [u� [��/ QQ �
a o State Liv e 1LJ , y Approve,:14A&wll� � 4;&—
PLUMBING INSPECTOR
j :_ \ ✓
FIXTURES NU
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
bath Tubs To Curb
Showers 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 . Sink--, Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
San TrapsTOTAL FEES
Urinals Fixture Fee
Tr ea Drains Main Drain Fee
�
W ater Leaders Storm Drain Fee
Sprinkler Vnlvcs Water Sys. Fee
Permit Fee
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Hain Drain
Final
Ul Q
W Z
i 0
Y O
U.
>O J
> Q
W LL
=o
4. W-
OF
Q
z (N
aW
W =
as
00
Sa
ZI
J Z
J 0
3Q
W Z
W W
¢ a
� F
Q O
—U
E
ffl�
STREET
LOT
�L PPLI A,T1 N FOR PLUMBING
ate II K. OF CUPERTINO
34 + Sanitary Nc
PERMIT
Date , -1967— Permit No
_ rr _._., .. Fee $
Applicatio of s hey ipy' j' ra Tte j`�h 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 City of
Cupertino, and all�o r laws applicabl.Q thereto.
Use of PremisesP
r✓
u
By_2%-E.J Address )1� (r(/plA.
17��l
AGENTPhorTz
State Lice9� ApprovedWNcC
PLUMBING INSPECTOR _—
Ua
W Z
i 0
y O
� LL
oQ
�U
w LL
= O
LL F
Oa
z (n
a w
w =
H F
JLL
O O
> e,
O J
J Z
J O
3Q
w Z
w w
Er a
� F
a0
—U
/O / 69 I �s/ L Ln X/ /L LOT
NO. STREET
_ APRLICA TION FOR PLUMBING PERMIT
tIz OF CUP
ERTINO -
�( Sanitary No..
/.�i 7 -
Date "'` ; =19 7 Permit No -
Fee /�
- Fee �' C1
Aphlic'tion 'is' herebyi a�t vhe,, City of Cupertino for a permit to install plumbing
pipes and/or 'fixtures liste� 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
Cupertino, and all laws applicablq thereto.
i
Use of Premises
D
U
By 24l (1_2 Address,/ Gf4V'
CONTRACTO ,AGENT
Phone_, 1— 0 /
State Lice�� � 0 Approved
PLUMBING INSPECTOR