2451i '770 / ]
No. T .ET
PzP 1, At IqN FOR, BUILDING PERMIT
T O
4 C OP CUPERTINO 3 2
3 U �r 1 O Q 9ALs7 S:mitarY Na.
J f+(7 1e763 196_ Permit No.
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'o F I�dtl i h ta�e o af'armit to
i N a 0'1l' story, Type /
.1 to be occupied only.as
.: o'o i "in accordance with Plans,'Specificatlon4'•and Plot-Pfan'filed-
wo� C.
• ; Lstimated Value of Improvements; $ A00d
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Z J It is hereby agreed that the requirements of the Cupertino Bui
z all other laws applicable to the construction, location,'.and use
o Cupertino will b complied wit .
3 L L�s��
a Owner NS ?.y.r Address_
'. By `' t,'� Address_
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Pee $
,g and Zoning Ordinances and
buildings within the City of
b - BUIEDING INSPECa Oa
- ,•
RECORD OF I SPECTIO 1 PPROVALS
FOUNDATION
f� 1�INSPECTOR
UNDERFLOOR/ // �
FRAME
DA'E INSPECTOR
DATE
INSPECTOR
LATH and PLASTER
% DATE INSPECTOR
FINAL BLDG. `
DAT - INSPECTOR
FINAL ELEC..,, .
�r 1, DATE
FINAL PLDG.
.'?i.. DATE
FINAL GAS,
'DATE
• V `\Y: I
y 1:. INSPECTOR
INSPECTOR
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APP ICAC ON FOR PLUMBING PERMIT
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z Y OF CUPF.RTINO
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,0 ® n Sanitary No.
a< Date'IJI�� 21F3 196 Permit NoFee
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°iL{ca�,i��r isC�tle�byt�a�e�o�fhe City of Cupertino for a permit to install plumbing
o a pip s and or, fixtures liMd'on the reverse side hereof, and agrees to install said prices
i m` and/oi'fixtures� in actor ante with the Ez the Plumbing Code of the City of
a Cupertino, and all Lithe' aws applicab
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0 o Use of Premises' `
o a j�- Ownerjs��i'Cr% Address �/(
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AGENT'
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�,� State Liceps - ��,
Water Heater
Sprinkler Vnrves 1 14 11 water oya. r" I
Main ll
U. TREF.TCA
`17`3 ,��1PPL® fj1ON FOR GAS
! 'oCI }!j + C CUPERTINO
LOT NO`r+MM^ T()Z--��(1. fl
PERMIT
JUN 28 19638 L
Date 196— Permit No.
AS��YY (�� /� F I� (� PeeB
i�l�c3ti off heitbyPHT) erCity of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes •`w
and/or appliances i acaxiance wirt
e provisions of the. Plumbing Code.of the City
of Cupertino, and al other laws apple thereto. ..
1.'
Use of Premises
Ownef X _ A00,
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By
' CCONTRACfORf AGENT
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State License.../ F-F/3j/.
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BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer nnection
Sanitary Permit No.
Bldg. Dept.
Office Copy
�1,mbmg Final Plumbing Permi
))Lot %o. . ..... ...............
Owner or Tenant -------------- .... ... ...... .... ") . A
......... ..... ..... .....
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At----- --------
-- - - ---- �q�i ........ -- -- --------- -- ----------------
Tract
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Tract ... *L
To
You are hereby
GAS SERVICE N TIC
BUILDING INSPE ON�OFFIGE
CITY OP PE$TINO 1
Owner or Tenant ......
At.......................
No. of Meters ......I ..............
No. of Add. Meters ..............
i OFFICE
COPY
19
for
New Service ......
• Reconnect ..............................
Mov Service ...
Meter ....................
�g t PLUMBING INS]
Ito 6/63 500
i
I�&2NOT Z'&T2 THE WORKMEN S OF CALIFORNIA.
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UNITS I FEES
Sewer
ze
Fee
$p rinklcr VONCS Water Sys. Fee
Permit Fee ..2,(.
TOTAL: TOTAL FEE IoO •-
RECOR OF d SP TION
Underground Rough._ -�--
.Partial Rough..
.Rough. Complete..
-Iain Drain
Fina]_. n ���^
.Ct AGREE I WILL.NOT VIOLATE ANY OF THE WORKMEN S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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FIXTURES
I UNITS I FEES II 1 UNITS I FEES
Water Heater
Floor urains
Hoppers
Restaurant Sinks
Sanc-'raps
Urinals
Area Drains
\Fater l..eaders
Sprinkler Valves
TOTAL
RECORD OF
Underground Rough._ "•'�/
.Partial Rough.. _
.Rough. Complete.. ,
.lain Drain t,
stare
/j\���(�"'GREE I WILL NOT VIOLATE ANY OF THE WORKMEN S
L.OMPENS.TiON LAWS OF THE STATE OF CALIFORNIA.
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I UNITS I FEI7S II IUNITSI FEES
Boxes
rain
SpriAlcr Votvcs I _ I II Water 6ys. ree I