51145 (2) Qom./ a O LOT NO.
® APPLY TLIN4 FOR PLUMBING PERMIT
z f AUG - 5 1966
W OF CUPERTINO
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r o Sanitary No.
3 D(lpr Y 96 66 Permit No234281
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w 4 Fee $ -4'e�
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Application is hereby made 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
> and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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LL Use of Premises HOUSEHOLD - INSTALLED
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"" ARTHUR R. MC CARTY 21622 REGNART RD.
0 3 Owner Address
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, By SOFTMASTER, INC. Address 1150 DELL AVE. , CAMPBELL
O CONTRACTOR, AGENT
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- ` Phone 379-5050
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a o State License Approved .. .�•- •.-.-?='•-�== -�
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PLUMBING INSPECTOR
FIXTURES
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 / / Cd 1 Material
Bar Sinks To Main Drain
Com . Sinks Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers .Size
Restaurant Sinks Material
San'J Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
mater Leaders Storm Drain Fee
Jprinklcr Valvcs Water Sys. Fee if Ov
Permit Fee a. cU
TOTAL TOTAL FEE 7 , 00
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final