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1867 10340 ©/I Wry/ — LOT NO. I G No. I R BUILDING PERMIT t� 111 rC�I CUPERTINO DateI IS -� L 4 _ Permit No. `I IVfyyn.ote�gft �grpnitto a ' I) sllTT,,orrry, ypee ,,KKSS.•'}'},.•'' 66KK11 Building at SO/7�RS�'I:-: f(/8�•.i' . . �2P ON7fIs h✓Ay to be occupied only as + s/NULL'' fit/9a� 71V[LUNE in accordance with Plans, Specifications and Plot-Plan filed herewith. Estimated Value of'Improvements,$ A8 000 ea Fee-$ 6 v � It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and .all other laws applicable to the construction, location, and use of buildings within the City of „j Cupertino will be complied with. wner�/�72� �i?N�� Address SSG• /�r S� s'� ,S. T �y ��R/NE iPPE Y Address ' CONTRACTOR, AGENT �` Phone C 7" SPLs �/ Approved BUILDING INSPECTO lg4L 0 0 0 0 0 ;z z �Z o O Ilu - - - - - W CL ,N Z LL O v z z z z z —————————————————— � \ � e f e 2 : 121, 'n;T07 4A . � � � w 2 � /� � Oo rm m ,4z .T:;k State License �tip7a .f D T 1 0 n t1 w � cW O n 'p—< c3�,�� y^ w s a V y 2 rt o n`gTtV b 8 7 gw v n.: � 'o H G C n n z On o o n v n y In .� w pp '7 o. m Remarks (Check ✓) Type of Appliance I Units Fees II New I Replace Relocate Gas Ranges Wall Heaters Gas Plates --F 11 1 1 Circulating Heaters ! .I �•� Blower Furnaces �� 4 Gas Fired Boilers Warming Ovens 1 t: Percolators Griddles Steam Tables JL Gravity Furnaces j Suspended Unit Fluor Furnace Miscsllaneous NAME TYPE II - . ..+I'. �'•�.^, �p Ip Ip ante Fees Inspected and Approved ...._........ ...................................... DATE .INSPECTOR HOUSE GAS PIPING Number of Outlets Size of am 4f"; Gas Piping Fees ..Y.� Test_3ed and Approved ......... ............y...... DA E INSPECTOR r State License/6qj�J— T m C °b d O b O n Vn u "O� J.,qmv O n r o v. nn O y O � n i qq�Q CQ Q� y 'wo o b n .044 n n _ w o. _ y n N Q n _ o A ` 1 Remarks (Check *r)Type of Appliance Units Fees I New Replace Relocate Gas Ranges I J Wall Heaters Gas Plates. Circulating Heaters ' .._ Blower Furnaces Gas Fiied Boilers Warming,Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit II _ Floor Furnace Miscellaneous (NAME TYPE �� �"••ij'N.=� <"s pp lance ees Inspected and Approved . -. _� :�a, _... . .. . _. ..................... DA INSPECTOR I FT 0 , ( ° jC- ® , FL \ \ ƒ � K ( \ \ \ } : { q \ \ \ / jm - \ � (® 12422 ' / '�•-- State License o O C n 8 E d � mnG n. a a` n o o n ��- 1 n0y wy �r+ z v aee ;xNrm y p� tD CD a o ��ii0 z m m m I .'tb a.n: . a �• � n ro � 1 I O m N ^ T w 0 z D o Z >w _a A C tan .t Jr �.o N . w w T P, w w, ry L1. rz in » 4 . ; } \ W4 4- 0 C4 � % / �� � : : : ( :� W5 � / \ \ \ ) � \ � � : � / � 44' . . . V4 Z } k)�2 -0 14Z z x 2 z g o o o 0 7 0 0 q T icp n 7 ? •c x r o. Oy r ..� E .w. T •��� ,' C 'b to < � n '1 r i w w n rc [r9 :Q n n 20 1 ' State License /O;Z� z � } { � �(� � / § ® Olon \ / R R-M } \ } \2 0 � c \� ( $ ~ /ƒƒ , \ § § / § ( } m nEE � ± % E e � FIXTURES I NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater Size �° / 07•� Water Closets Material c? Bath Tubs To Curb Showers To Prop. Lin Lavatories 3 11 To Existing Kitchen Sinks / �� Not o n Dish Washers CEWER nnx,p lj• Waste Disposals P;. Wash Trays STORM DRAINAGE Washing Machines / �I Size ,-Water Softeners 11 Mate ial Bar'Sinks To Main Drain I Comb. Sink•&Trays) ' To Curb+ Dental Units Drioking Fountains) 1 .t_ 11 }, Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material Q.r,�, Sand Traps T TAL FEES Urinals �. �� Fixture Fee Area Drains Main Drain Fee ro Water Leaders Storm Drain Fee Sprinkler Valves I I II Water Sys. Fee I /. A9 Permit Fee TOTAL TOTAL FEE E ORD q IVPPECTION Partial Rough 7/ Rough Complete s Final •11 v lz Iz 0 (A ro mo 7-Di In 1 4aw