51167.2f61.
LOT NO, W
ND. SSR-E;T� fir,
f AT OrN F RN PLUMBING PERMIT
PL CIT H�JCUPFRTINO
1 rJUL1 9 1' ll Sanitary No s'
. 5 71
Date June , 196_ Permit No 1167. a
f;IT`( OF CUAF ff jK1q Fee $ 14. I�
ApplicatioIs hereby made to the it), C
n upertino 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 Premises Dwell.ime
Owner
Ditz Crane Company
Wd55De La Cruz Boulevard
re
B Palm Plumbing Company A�h, bunnyvale-Saratoga Rd,
By CONTRACTOR,AGENT
D1-,.__ 245-2323
State License 186579
Approved
y PLUMBING INSPECTOR /
P'IXTURES 1 NAI
UMBER �� MAIN DRN
UNITS FEES IINI'rS FF. F.S
Bath Tub
11 To Curb
Shower
To Prep. Line
Lavatories
To Existing
Kitchen ink %
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine /
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Floor Drain WATER SYSTEM
Hopper Size
Area Drain
Storm Drain Fee
Water Svs. Fee
ee
Permit Fee
Total / LATotal Fee [7