51145 (3) LOT NO. no��2-�
No. EF.T
LQT FOR PLUMBING PERMIT
z a D OF CUPERTINO
x ° APR 4 1966 Sanitary n.).
0 < Uatr Permit No LL &2/5/�
0 196_
3 LL �/ (� Fee S �l
0 JWiiYtic0F hhitt{PER ING City of Cupertino for a permit to install plumbing
01 pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
r r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Z w Cupertino, and all other laws ap)licable thereto.
w x
r r
j w Use of Premises
00
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r 3 Ow ddress
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zJ
z Y Address
0 CON' IACTOR, AGENT
30Cu � �
— `m Phone /
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u f State License':��&o Approved /
a o
�` U PLUMBING INSPECTOR
1? R
UNITSD FEES
UNITST FEES
Water Heate Size
Water Closets 3 1 Material
Rath 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 SinksMaterial JAL
San raps TOTAL FEES
jAe
s Fixture Fee
Drains Main Drain FeeLeaders Storm Drain Fee
er Valves WaterSys. FeePermit Fee 'j. CO
L 10 TOTAL FEE o6
RECORE OF INSPECTION
Underground Rough
Partial Rnugh
Rough Complete
Main Drain
Final