51191I
LOT
NO. STREET
/ATION4FOR PLUMBING PERMIT
C r ` ?1 F CUPERTINO
Date f J U "" h 8 1940 Permit No.
�,�?�� OF OUQERTa1V0 Fee $ 4 7T s
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
LM
Restaurant Sinks
I
Material I
I
Sand Traps
I I
TOTAL FEES
Urinals
'4 in nO
Fixture Fee
3 yU
Area Eira-insl
II Main am Fee
00
Water Leaders
I
IIhft=tEbmin Fee
(�'0
Sprinkler Valves
I Water Sys. Fee
KS
I IS -0
11 Permit Fee
TOTAL
TOTAL FEE
Q
RECORD OF INSPECTION
�ogrs� I 57, V,wt
NO. STI F.EI'
APPLICATION FOR PLUMBING PERMIT
z TY OF CUPERTINO
z z
x o C Sanitary No.
o a Date j r i Permit No S11/Q
1•
,
wI 1JUL 1.6 I568 all
Pee$
w_0
O
1-Application is hereby made to the City of Cupertino for a permit to install plumbing
o r pipes and/or fixtures lis��,edgjt v e side hereof, and agrees to install said prices
> a and/or irii�cortl ,j$r�tl.- h��l ovisions of the Plumbing Code of the City of
a w Cupertm an al other 1ws applicable thereto.
w S
Use of Premises (W/� LL�
00
>3 Owner Addresn%_// �
Z J By Addresses `l
CO
J-[
J O NT TOR, AGENT
30 v w z Phone
wta
'i o State Licen,e�� -� Approved -
-tr3�' U PLUMBING INSPECTOR
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES UNrrS
FEES
Water Heater
Size
Water Closet
Material
Bath Tub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Not Conn.
Dish Wasber
Sewer Box
Waste Disposal
'
Wash Tray
STORM DRAINAGE
Washing Machine
Size ''
0 O
Water Softener
Material Ay
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
5-1
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
N
Total
Total Fee
5v
, yam 9 �5
NO. STREET_
W fj�ALC�►1'10! FOR BUILDINC, PERMIT
Y U.U. CI S:a OF CUPERTINO
0:
5 ¢ �r�AY . 6 '�96'� `' Sanitar}' No.
U. �T-
2 U. U:tte 196_ Permit No.
�o
L. W I �licat On i �' g a r7a ermit to L>
zz in a � story, Ty — Building si
W a
to be occupied only a a ce with
0 o plans, Specifications and Plot -Plan filed herewith. �Pi - t �i� •:�
F_ 3 . . Estimated Value of Improvements, ,n6n Fee $ 3?�. 60
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City o
J o Cupertino
Q e complied with.
3
— < Owner Address
W a By i :sl,'c GC'G ✓✓✓�r� 1J 0 Addre
U A pp roved
: State License r� 2 � •7 i� BUILDING INSPECTOR