2738 LOT NO.
lA .T
P I N FOR PLUMBING PERMIT
wz /MAY 181964 I�Y OF CUPERTINO
EmAY 181964
x o Sanitary No. ti3'Sf0 t7
0 a Datnl��/ Yep — ...PE-HIIII69(i� Permit No
iLLFee $
O Application is hereby made to the City 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 USED CAR LOT
00
> 0BUZ CHADWICR 20100 Stevens Creek Rd.
i� S�r,;�X92 Cupertino, California
By :;Be Address 5627 W. Wal brook St..
o , AGbNi San Jose California
3 m Phone 253-9101 '
W Z
u 0 State License 171979 Approved 1L
Tao —
FIXTURF.S NUMBERI R I
UNITS FE ES UNITS FEES
Water Heater Size
Water Closets Materlai
Bahr Tubs To Curb
Showers To Prop. Line
La%rtories To Existing $4, .-+
Kitchen Sinks Not Conn. '
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
.Bar Sinks To Main Drain
Comb. Sink a Trays To Curb
Dental Units
Urinking Fountains
.Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
Sand Traps-s TOTAL FEES
Urinals Fixture Fee -oo
Area Drains Main Drain Fee
Fater Leaders Storm Drain Fee , U
Sprinkler Varves Water Sys. Fee
Permit Fee —Z .� a
TOTAL TOTAL: FEE -od
RECORD OF INSPECTION
Underground Rough... ,�;
.Partial Rough_
.Rough. Complete-
Main Drain
Final_. z+