51075.3 (7) 10900 , id. Tantau LOT NO.
NO. STREET
APP TION FOR PLUMBING PERMIT
< G OF CUPERTINO 1NTERSf t—
z
W
a Sanitary No.
0 LL Jul X70 51® 7� 3
3 a Dat � "_ ' 196— Permit No
W LL Fee g 4.00
x O
Application h City of Cupertino for a permit to install plumbing
o pi �otctut �� reverse side hereof, and agrees to install laid prices
1 an fitto sin accordance with the provisions of the Plumbing Code o6 the City of
a w Cupertino, and all other laws applicable thereto.
w x e
Use of Premises Office Building
gN Valco Park Ltd. Cupertino
o � Owner Address
z� 3 2 N,ission IIlvd
.
-1 , By FISKE & �UATPIAN, INC. AddressFl�yward, Cali£. 94544
O CONTRACTOR, AGENT
3 a 582-3593t .�J
— 0 Phone 7
W W 7-220,- •O
a
a o State License d Approved
—U j, PLUMBING INSPECTOR /
FIXTURES NIJ. BER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heate Size
Water C osets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitc en Si Not Conn.
Dish Washers Sewer Boxes
rite Disposa s
ash Trays STORM DRAINAGE
Was ing Machines Size
Water So tenors Material
Bar Sinks To Main Drain
Com m c s rays To Curb
Dental Units
Drink ing Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
San raps TOTAL FEES
rinals Fixture Fee'
rea Iffrains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...