51167.2 (3)LOT
�+' APPLICATION FOR PLUMBING PERMIT
'MAY 6 1968 CITY OF CUPERTINO
Sanitary No.
Ihte- +ZJ`n.!nYgT, n 1968 Permit No -6 l/E7. 1/
Pee $
02 -S-'a
Application is hereby made to the City of Cupertino for a permit to install plumbing
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
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner Ditz Crane Company
By Palm Plumbing Company
CONTRACTOR,AGENT
Ph 245-2323
on
State License 185579
d9ss651 De La Cruz Boulevard
,Yd 4sN. Hwy* 9
PLUMBING INSPECTOR I,,-
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Healer
Size 41,
Water Closet
Material III
Bath Tub
%
To Curb
Shower
/
To Prop. Line
Lavatories
t 3
To Existing'
Kitchen ink
%
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin 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
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee ';J -el
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee ��(T
1 Total