51234-Plumbing Permit 90080 Rmriques LOT NO. 1()
NO. STRFF.I' p+
CITY OF CUPERTINO O D °
" < Crr of CufErn"°APPLICATION FOR PLUMBING PERMIT
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x o jUN 8 1971 S:mita ry No.
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o � [date May 2(1 19 31 Permit No S—,/
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w LL P A I D Fee $
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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 I 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 Anartnenta
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7 N
o a Owner Jerome Whitr+ Address 10'15,9 R'n Blaney
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By. San Jose Mechanical, Inc. Address 1665 Rogers Ave S_,T_
o CONTRACTOR, AGENT
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— w Phone 975-90),1
State License 264285 Approved
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- � PLUMBING INSPECTOR
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FIXTURES NUMBER MAIN DRAIN
Units I Fees 11 Units Fees
Water Heater I I /.SO Size y'/
Water Closet .2,0 30.aa Material B
Bath Tub /A If.eo To Curb
Shower f /.2.6o To Pro . Line
Lavatories .40 3a.ao To Existing
Kitchen Sink 1A If.Ph 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
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Restaurant Sink Material i�ev
Sand Trap TOTAL FEES
Urinal Fixture Fee !Gg.sO
Area Drain Main Drain Fee Jr.ac
Water Leader Storrs Drain Fee
Sprinkler System Water Sys. Fee
Re]ef Valve Cia,Fee /.So
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee .7.Op
Total Z.WO, Total Fee '1119