2745 20087 Somerset Dr. LOT NO.
NO. STREET
v
n11CPLUMBING PERMIT
UPERTINO
zixo (MAY 26 1Sanitary N0.
0 ' M
o Date 196— Permit No 02 T
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° Appli n Is eby ma e o e i y of Cupertino for a permit to install plumbing
o a 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
a w Cupertino, and all other laws applicable thereto.
w x
Use of Premises Residence
00
3: J.Jaineson 20087 Somerset Dr.
0 3 Owner Address
zZ By COAST WATER SOFT^ OO Address 807 The Alameda
° CONTRACrOR,AGENT
w Phone 19S - 7Y3 5
Wz
W W C
ao State License 7 3 yQ3 .Approved
U PLUMBING INSPECTOR
FIXTURES M E MAI DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
'eater Softeners Material
Bar Sinks To Main Drain
Comb. Sink a Trays To Curb
Dental Units
Drinking Fountains
oor Drains WATER SYSTEM
Fl
Hoppers Size
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
VV/ater Leaders Storm Drain Fee
Sprinkler Voives Water Sys. Fee
Permit Fee 1
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
.Partial Rough..
Rough. Complete.. '
\'Iain Drain
Final...