51234 20050 Rodriques LOT NO. 3-4
NO. STItEFT
CITY Of CUPWINO CITY OF CUPERTINO E
APPLICATION FOR PLUMBING PERMIT
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3 JUN 8 1971 Sanitary No.
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o a Date .� May 2)a 19 a Permit No
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w Pee $
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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
> r 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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Use of Premises Apartments
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r 3 Owner .TarnmP Whitp Address 10159 So_ Blaney
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j, By San Jose Mechanical, Inc, Address 1665 Rogers Ave.. S.J.
0 CONTRACTOR, AGENT
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— i`n Phone 275-90411 I� , ) n
264285
a a State License. Approved
-U PLUMBING INSPECTOR ✓
FIXTURES NUMBER MAIN DRAIN
Units Fees Units Fees
Water Heater / G.S Size
Water Closet /L .+b.` Material G/
Bath Tub 8 ll-i.e6l To Curb
Shower 8 Jjj,po J To Pro . Line
Lavatories .old To Existin
Kitchen Sink Y 140.0,01 Not Conn.
Dish Washer
Waste Disposal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size I� "
Restaurant Sink Material rjnA v
Sand Trap TOTAL FEES
Urinal Fixture Fee 85.SO
Area Drain Main Drain Fee J.O
Water Leader Storm Drain Fee
Relief Valve. Gas Fee
Sprinkler System Water Sys. Fee ,�p
/.SD
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee a.00
Total 15,12) Total Fee S.S