51177.11drele 1 JN!5, moi' -?l /��L� _ LOT NO.
'
NO. STREET
PLAN /6 I? -
0
2
r-qPVQA FOR PLUMBING PERMIT
�ter. -.
.LTY OF CUPERTINO
a)'Augu�s t 11 1f97
Sanitary No.
Permit No...C�/-2 7,f
Pee S -?.3, a Zt
���iFatis Ir ��tin►tI R1�e City of Cupertino for a permit to install plumbing
pl d/ Ixt 1 1`l1 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
Ditz Crane Co.
Single Dwelling
L. C. Bohart Plumbing Co.
I CONTRACTOR, AGENT
__ 245-2323
State License 186579
�?d95 De La Cruz Blvd., S. C.
A ress
AI esE. Fremont Ave., S/vale
e -21-7c, 4j
App`rro�ved
(J� PLUMBING INSPECTOR
IG12
FIXTURES
NUMBER
MAIN DRAIN
Units F
Units Fees
Water Heater
Size
Water Closet
Z
Material
Bath Tub
To Curb
Shower
/
To ProD. Line
Existing
Kitchen Sink
Not Conn.
Dish Washer
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
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
Area Drain
Main Drain Fee
Water
Storm Drain
Sprinkler System
Water Sys. Fee
Vac Breaker
Skimmer
Filter
Pool Sweeper
Permit Fee
Total
3
Total Fee