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1874 (2) J 00kqs ON& S I 67 LOT NO._, O NO. qmmwft' ' D OR BUILDING PER T CUPERTINO �-t Date ? 311962 _ Permit No. — A o �'�er made Flora (e�rmit to EREC7 a O' , ory SER U'�`6 T Building at ''oNERSE7 YSPyo "/L4I ON_fisl WAY n to be occupied only as S111/6LL% b?'-fwx Pyaj1 eyc- in accordance with Plans, Specifications and Plot-Plan filed herewith. �� Estimated Value of Improvements, $ /S 000 Fee$ 4,r *—j 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. Owner�21-72—//�,Rf}NpL� Address - /V , ��7�T s By ,QTR/NLr /T/7iQQFi� Address 'I CONTRACTOR, AGENT Phone �' S j> '�Approved BUILDING INSPECTOR N 0 0 0 0 0 6 L Q ' z i z OC z z i CL W 0. N h Y 0 o 0 C9 ol P4. w z < O Qa w p Q < w a z ]O < z z z P4 z w w a w w w c 10, � \ \ \\ � : � � / \K/R 14 _� : \ � \�« � 52 on w ƒ T tz e : : / j \ ± _ \ \ � rX :1111 13 : = © s. _ i f -f- ; % «] > » aE ~ nm R � \ ; rte` � § �� ® ( ( 0 }\ 0 , { § § (\\ 2 m \\/ : tub, FIXTURES NUMBER MrAtIN DRAIIN UNITS I FEES I '4sNIT51 FEES Water Heater I / 11 SlzeA4*wl Z OO Water Closets '✓ 11 Mateii W Bath Tubs / To Carli'jf Showers / 11 To Prop's Ling/ Lavatories' v 11 To EXistingr Kitchen Sinks Dish Washers Waste Disposals Wash Tray's STORM DRAINAGE Washing Machines Size Water Softeners Material I Bar Sinks To Main Drain Comb. Sink a Trays To Curb Dental Units . Drinking Fountains I it Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material 9 Sand Traps T TAL FEES Urinals Fixture Fee I //,eo Area Drains Main Drain Fee See Water Leaders 11 Storm Drain Fee Sprinkler Valves I Water Sys. Fee /, oa Permit Fee TOTAL TOTAL FEE / 57, 00 RE O O S TION Partial Rough i Rough plete 3d Final � 2 / ƒ � : t $ � : �\ ` ) - z ; (A tz >:a r Stat )k 12422 etLicense - O .0 C. C1 Q Q. d 0 m w ..� o oy oy z, o O m C .� o. _ io o \I m0 2 o —9 0v 7 ry w ! Z R 4 9--7T d NE7n o O w `D fl d rw t'ZI 0 a a N N sN. p b z a oN A M �i F O T o w n 04 H w F ry N A � m Ts m A. O �1 m O y N /1� Z 1 O O ^ e.jy . . aN r- iv L R wT ry _ m n a & LW � �; / : : } t4a \ \ , \ \ \ \ \ \ � \\\\ . m �� � k \ \ \ �-� /(( � ) \ / / \ ) { � : � � / / ) \ \ } } 'IV,1;4 0 0 1 -6�4-6 z z �r 4 z 0 � � � � \ �\ On ^ � � ` . \ \ M . / \ \ \ / ��' q ( \ / / \ 2 ���� \ \ < } � � - j 2 � ) . ( $ � \ � n PN State License /o 97 s; o to EO n^ 0 n b wav BOJ G O (zo .� o d y Y n o , m w ❑� -1 O .b n a 0 O b Q a o N rt w o 7 �.� T o o c w } H nv v Y � 'R T Remarks (Check d) Type of Appliance I Units Fees II New I Replace I Relocate Gas Ranges I I II I Wall Heaters Gas Plates I 'I Cirzulating Heaters Blower Furnaces I b Gas Fired Boilers Warming Ovens I Percolators I I ' Griddles I I II Steam Tables I II I Gravity Furnaces SuspendedUnit Floor Furnace I I II I II I Miscellaneous I I I I NAME TYPE) I I III III II 11 I I II I I -1li I II ISI J�. pp lance Fees Inspected and Approved ... .......:...! ............................:.......%?..... DATE - INSPECTOR `eP `♦ HOUSE GAS PIPING: Number of Outlets I I'%'Size. of,Main ^a;,'4F✓;- Gas —ng Fees I '^ ` A — '— . Tested and Approved . . .. ... fg INSPECTOR State License/6 , -3.S' 04 n O A S ^ _ � _ ■ R E z 5 z o. Y= o ^ 0 gm: a n Mo a a a w � r- � o m $ G � MU o Remarks (Check ✓) Type of Appliance Units Fees II New I Replace I Relocate Gas Ranges mall Heaters Gis Plates Circulating Heaters Blower Furnaces Gas Fired, Boilers �� Warming Ovens Percolators Griddles Steam Tables ra ity Furnaces rSuspended'Unit II Floor Furnace' Miscellaneous NAME TYPE) =Pp I�Fees Inspected and Approved . ... . cJ.. ,.._ . ......................... ..... DATE: INSPECTOR,,: tz .0 m 0 --1 4 z ZI: m C) go