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51046 PLUMBINGFIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink 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 Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee 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 Total Total Fee 11-NO % 5 16LI1'1.C410V LOT NO. STREET APPLICATION FOR PLUMBING PERMIT 0 TN OF CUPERTINO ° E� I Sanitary No. LL Date h� % - /'` 96� Permit No �� c a - W LL Fee $ 3 .S� ° Apt-1c �ipnsi�gher }gyp tQ# -City of Cupertino for a permit to install plumbing o a pipes an�/br Udures As�ed Rtlie everse side hereof, and agrees to install said prices } and/or fixtures in accordance with the provisions of the Plumbing Code of the City of Q W Cupertino, and all other laws applicable thereto. a 1� Use of Premises 00 >� A > �m Owner Q/IJ/ l7 •/G� Address���©� ` Ili � 3 ° I B RAYNE SOFT WATER SERVI�Eress J ° y CONTRACTOk; A' E 4V-Y - 3 a SANTA CLARA, CALIFORNIA 95050 - a Phone w z I'UNL 241.33/0 w w IL F a o State License-- Approvedy°,tI _LI "' L�• `` '- ' i"� — O W PLUMBING INSPECCOR FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater Size Water Closet Material Bath Tub To Curb Shower To Prop. Line Lavatories To Existing Kitchen Sink 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 Drinking Fountain Floor Drain WATER SYSTEM Hopper Si ze Restaurant Sink Material Sand Trap TOTAL FEES Urinal Fixture Fee 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 o Total Total Fee 20,$ LOT NO. NO. STREET --APPL-ICATIO;N FOR PLUMBING PERMIT z a t _✓ -: -, ___ } c CITY �IOF CUPERTINO w z o ' i�; f Sanitary No. LL CEP 1�b/ 3 U Date Permit No. w Fee $$ Application is hereby maaG`to ;the .Qtylof Cupertino for a permit to install plumbing LL o a 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 Q W Cupertino, and all other laws applicable thereto. w T- LL Use of Premises 00 > N 0 3Address Q Ownerk ��.re7it/�,�� C�%dL:= z J C J z BY"'� �?�" Address%% O e' O CONTRACTOR,AGENT 3 N PhoneX 0 State License.'Y �6 ��� S Approved o U PLUMBING INSPECTOR t,�/