2758 2058$ Stevens Creek Boulevard LOT NO.
" NO. 'STREET
APPLICATION .FOR PLUMBING PERMIT
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z a CITY OF CUPERTINO
i
r oSanitary No. '
3 ¢ e 616 6 , 196— Permit No 7.S
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JUN 17 1964 Fee s. ,Pdo
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Application is hereby made to the City of Cupertino for a permit to install plumbing
°o pipes and or fixt )the reverse side hereof, and agrees to install said prices
i a /t�t1 /ortur�s a a ce�with the provisions of the Plumbing Code of the City of
a w p rtino,, and all other laws applicable thereto.
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Use of Premises Restaurant
00
3 Owner__RhQ eS Const. Address 630 Kings Row
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J Z By Winchester Plumbing Address 1217 Dell Ave.
O CONTRACTOR, AGENT
3 m Phonn 378-7615 -
U State License _ 210245 Approved
�' PLUMBING INSPECTOR
FIXTURES
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories 3— To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wasp Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
Flooi Drains Z WATER.SYSTEM
Hoppers Size
Restaurant Sinks 3 Material
San 'Traps TOTAL FEES
Urinals 4 Fixture Fee QO
rea Drains Main Drain Fee Q
Water Leaders Storm Drain Fee
Snrinkltryai. 6' Water Sys. Fee
1041, Permit Fee --Zp e7
TOTAL I TOTAL FEE
RECORD OF INSPEC') N
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain �
Final... bV/