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No. STREET
APPLICATION FOR PLUMBING PERMIT
�- CITY OF CUPERTINO
x o ® Ia Sanitary No.
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0 < Da 196— Permit No J`/
W O 7Si
OCT 81 1967 _ Fee 3�
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� Application is hereby made to the City of Cupertino for a permit to install plumbing
o pi / xt4, de reverse side hereof, and agrees to install said prices
a r fiQQ{(�sithe provisions of the Plumbing Code of the City of
<wCupertino, and alllicable thereto.
Use of Premisesi
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0 3 Owner Address
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; Z By S� P/J? Address ,53z'0k-4%5zWe'.A F,c
0 CONTRACTOR, AGENT
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- 0 Phone /r7G "50/ 7� �� `
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02 State
, Approved
U L� PLUMBING INSPECTOR r
FIXTURES NUIN, BER MAIN L)KAIN
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
Bath Tubs To,Curb
_
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposa s
as'h Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drin ing Fountains 5
I` oor Drains WATER.SYSTEM
Hoppers Size
Restaurant Sinks Material
an raps TOTAL FEES
Urinals Fixture Fee
rea rains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee a, o p
TOTAL TOTAL FEE ,
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
/ _-? I ?t• A) lei LOT NO.
�^. STREP.T
APPLICATI FOR PLUMBING PERMIT
< -J'4 � JY Ae CITY OF CUPF.RTINO r
s AT�j2- —3 Sanitary
o a llatel/��y �, 1962 Permit No. �/y0 7—
3 4 Fee $
a w AlTf�4 ,,(ejo tI City of Cupertino for a permit to install plumbing
o pipesor fixtures listed on 1 verse side hereof, and agrees to install said prices
i mand7irrqq�co�g ff,�T�e t e provisions of the Plumbing Code of the City of
a w Cupertino, anyall other llws . able thereto.
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USUITYert�}i F.s
20
CUPERTINO
7 N
3 Owner Address
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z By 2ZYZ7!sI/ �i�✓in.L/N5 ca Address 7�/r.� /v.6R Oiliu4 '
o CONTRACTOR, AGENT'
N Phone
W WState License '? 3� Approved
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y PLUMBING INSPECTO0.
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FIXTURES NUMBER --VAMTDRAIN
UNITS FEES UNITS FEES
Water Heate ✓ Size
VG'ater Closets ,� Material y!
Bath Tubs To Curb
3ftowerr To Prop. Line
Lavatories q - To Existing
Kitchen Sinks 3 / Not Conn.
Dish Washers .J 6 ✓ D Sewer Boxes
Waste Disposals i
ash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
,13af Sinks S v To Main Drain
Com . Sink s Trays To Curb
Dental Units i+rl-.1 T
Drin ing Fountains
door Drains r WATER SYSTEM
Hoppers Size Z
Restaurant Sinks _ Material, � �r
raps ��i v311 TOTAL FEES
rinals Fixture Fee do
rea rains Main Drain Fee O
Water 1�— Storm Drain Fee
Sprinkler Valves Water Sys. Fee _ pd
Permit Fee Q, po
TOTAL�I•� TOTAL FEE �pU
RECO O N SD
Underground Rnugh
Partial Rough
Rough Complete
Main Drain
Final
/� q Is
\ LOT NO,
NO. STR l'
APPLICATION FOR PLUMBING PERMIT
"' .c
i ITY OF CUPPRTINO
Y p 4Sanitary i\'rr. I.
LL
3 a llate N Permit No U 73—.
3. va
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Pee $ �jJ
0 Application is hereby made to the City of Cupertino for a permit to install plumbing
LL i es a,','�^.t���'y('Ix I se side hereof, and agrees to install said rices
m and/or Athrhs iN�cco �fite4lthP�41i relvisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable
thereto.
a LL Use of Premises
00
0 3 Owner �/ Address
N .
o ,
z By Address
3 � CONT TOA, AGENT J
— w Phone 'k II
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State1. License AppvedFA aoU
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PLUMBING INSPECTOR V r,
FIXTURES \ MAIN DRAIN
UNITS FEES UNITS1 FEES
Waver Heate Size
Water Closets Material
bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Com . Sink--, Trays To Curb
Dental Units
Drinking Fountains
Moor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
tY/ater Leaders Storm Drain Fee
Sprinkler ValvesWater Sys. Fee
Permit Fee
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final