51187/3O S/ I LOT NO.�/'
NO. l'
�i+�1lC-4k ON Q PLUMBING PERMIT
'
NAY 21 1968 TO1'EICUPERTINO
U
Sanitary No.
Date May 15. 196_$ Permit No
CITY QE CUPERTINO Fee $
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
Dwelling
Ditz Crane Company
By Palm Plumbing Company
CONTRACTOR,AGENT
Phone 245-2323
186579
State License
A9,CKS De La Cruz Boulevard
A39 Sunnyvale -Saratoga Rd,
WILLIAM D. DENEVICH
PLUMBING INSPECTOR IV
FIXTURES I NUMBER �� MAIN DRAIN
UNPPS FF. M.S UNITS FFFFq
Closet
Shower I / 1 II To Proo. Line I L- I
Lavatories 'ro Existin��
Kitchen $ink / Not Conn.
Dish Washer Sewer Box
Comb.Sink&Tray I 1 11 To Curb
Fountain
WA'T'ER
Size
urinal
11 P Ixture Pee .S e'
Area Drain
Main Drain Fee t5
Water Leader
Storm Drain Fee
Sprinkler Valve
Water s. Fee
Relief Valve
Gas Fee
ee