51046 10646 Rosewood
LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
z a CITY OP CUPIiRTINO
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o � Sanitary A'u..
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3 a Date l i 9 Permit No S—/o
W LL
MAY 25 1967 Pees
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� Application is hereby, made to the City of Cupertino for a permit to install plumbing
o pipes and/or fixture lis v e side hereof, and agrees to install said prices
i N and/or fia"'l;'u�tSl ir� corc} I tovisions of the Plumbing Code of the City of
a W Cupertino, and al other laws applicable thereto.
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< � 4- Plex
j LL Use of Premises
00
"3 Owner William White Address 365 La Prenda Way
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By Winchester Plumbing Co- Address 1217 Dell Ave.
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F CONTRACTOR,AGENT
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- w Phone 378-7615
W C-210245
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o State Livens Approved
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r1 PLUMBING INSPECTOR
HX I IJREU,',IBERMAIN
UNITS FEES UNITS FEES
Water Hcarer Size
Water Closets Materia!
Bath Tubs To Garb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size-
Alater Softeners Material
Bar Sinks - To Main Drain
Comb. Sink v Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size jou //
Restaurant Sinks Material ,�pL
Sand Traps TOTAL FEES
Urinals Fixture Fee ,Sf1r?'D
Area Drains Main Drain Fee ,5—D7
Water Op
�prinkler Vaw¢s Water Sys. Fee �S'Q
Permit Fee pp
TOTAL 3 L TOTAL FEE J'S�
RECORD OF INSPECTION
Underground Rough...
.Pa
al Rough.omplet.
.Rrtiough. Ce.. '
.Main Drain
Final...
/CLG ! I - lel LOT NO.
NO. SnEP.T I
ARRLIC�TION FOR PLUMBING PERMIT
.z ' �5 �� �(" a WjI, CUPERTINO
x o Sanitary No.
3 < Date l FP Permit No
W LL Pee $,7
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Applire(ionfis-heTb)ji I�the City of Cupertino for a permit to install plumbing
`o a pipes-anN/or fixfurc rh ted_ tlie.reverse side hereof, and agrees to install said prices
> and/or fixtures in accordance with the provisions of the Plumbing Code of the ('try of
a W Cupertino, and all other laws applicable thereto.
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LL Use of Premises
00
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3 Owner, . Address
OJ �7
o By i � ° Address 1,410
F CONTRACTOR, AGENT
- < Phone -i'/�7 �/! ✓//
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a a WILLIAM D. BNF!Viru
u a State License Approved E
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—Ut l PLUMBING INSPECTOR
1d i
FIXTURES NUMBER MAIN DRAIN
UNITS I FEES UNITS FEES
Water Heater I Size
Water Closet Material
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Existing
Kitchen Sink Not Conn.
Dish Washer Sewer Box
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 I Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee .Sam
Water Leader I Storm Drain Fee
Sprinkler Valve Water S s.Fee
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee 611"
Total Total Fee 7'.S'