1765 (2) 20 i LOT NO.
NO. S
ji! I i. R BUILDING PERMIT
p Q Cl , CUPERTINO
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Date ���� 1982 �Z- Permit No. llliii
C//�� is eb
11
to C/e e T-
a ' 4w iWery � Building
\V41 at _Icj + EItSCT Seed- �/.4s 01'zws 6y
N,
to be occupied only as S'i.vct¢ �A�ricr. �l ,.✓�ee.rc
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ /0a o 0 _o o Fee$ 5 7, do
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
Fj Cupertino will be complied with.
Owner �'T2 ' ��� E Address�S6-/I/ FpIr S, T
Bye vc l�i9 ,G Address
r C 11GENT
Phone C T 9s Approved
BUILDING INSPECT.
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--T1XTUBES NUMBER 11 MAIN DRAIN
UNITS FEES 11 1UNITS I FEES
_Water Heater Size V-11 1 ,6,0
Water Closets o2 Material C
Bath Tubs e2 To Curb
Showers II To Prop. Linr✓j
Lavatories ,l-/ 'III To Existing
Kitchen Sinks No on • �b7b
Dish Washers / SEWER RnVCQ �•if
Waste Disposals I�
Wash Trays STORM DRAINAGE
Washing Machines IF Size
Water Softeners Material
Bar Sinks To Main Drain
Comb. Sink'&Trays To Curb
Dental Units I
Drinking Fountains) -t II
Floor Drains WATER SYSTEM
Hoppers
Restaurant Sinks �I. Material 9aa-��
Sand Traps T AL FEES
Urinals Fixture Fee // •�
Area Drains •Main Drain Fee
Water Leaders Ih Storm Drain Fee
Sprinkler Vaives r �II1 Water Sys. Fee I* /,B,p
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TOTAL // 11 DOTAL FEE 16. y9-
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State License 12422
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State License f�O97.T�
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Remarks (Check J) .
Type of Appliance I Units Fees II New Replace Relocate
Gas'Ranges
Wall Heaters
Gas.-Plates -'t j.(/, /I
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens '•' 7 "�/
Percolators r _
Griddles J,pl .&s
Steam Tables
Gravity Furnaces
Suspended Unit 1 II
Floor Furnace
Miscellaneous
NAME TYPE
pp lance Fees f ��
Inspected and Approved ...._........:.:. ....__............................... /./
DATE INSPECTOR
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
_3
Tested and Approved . .... ..�/L.� ..... . ...:.....................::`......
DATE INSPECTOR '�o.
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Remarks (Check *7)
Type of Appliance I Units Fees II New I Replace I Relocate
Gas Ranges
_\�/al{ Heaters I I I
Gas'Plates I • I n
Circulating Heaters
Blower Furnaces I' /�{;jp ✓
Gas Fired Boilers I ".�� Ir I �
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces.'
�rSuspended Unit
*Floor Furnace I6 {
I WeI
Miscellaneous I +• '�
NAME TYPE) I A
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Appliance ees r S
Inspected and Approved ........... . ..........
VAT P INSPEGT,O0.
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