51192.2 (2) /Oa6- I///f kA zGr�j • I LOT NO.
NO. STREET
APPLICATION FOR PLUMBING PERMIT
a CITY OF CUPERTINO
z
ro ?� >®S:uritary NoRLL - n
o Da 196 rt��
3fTi
U /
w li�.R O Fee $
° Application is hereby made to the City of Cuj nfi for la:pce nil to install alumbing
o . pipes and/or fixtures listed on tlie' reverse side hereof, and,°agrees t a sai ices
> �`- and/or fixtures in accordance with the j)rovlsions of the Plumb the Cit of
w= Cupertino, and all other laws ap; 'cable thCretor�:��pta .
0 Use of Premises
00 �� ��
r 3
Owner-4--?-J. ^ 14 Address
z z 13y J IC14A/ r� �/� Address
CON'T'RACTOR, AGENT
a �_ S 7 7 fjL!
z Phone Z
w
ww
o a
Y State License Approved
— U� PLUMBING INSPECTOR
-
j \ \ )
{fesrr
� ( \
. \ ;
\ } \ ( /� � � �
� ƒ \
0
.
Ti I � \
wv�YN:
h/�10135 _Mc aren +Pl Ce s LOT No. a0
J
NO, II I�STR[,L_S''"(�
z ` ? APPLICATION FOR%ILDING PERMIT
s ¢ f , q T '.
a o '�, JUL % .SCI"[=Y OF.�CUPF.RTINO
o � .
� Sanitary No
5
m= a Uate 4V1� r " I�I1I9t6t.Q?ftn Permit No.�,
d9 ,
o l
o Application is hereby made for a perry@ to erecit
a
z N a__�story,Type 5=T_T Building
r : to be occupied only as sfdwl in accordance with
00 plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
> "; Estimated Value of Improvements,$ 25,000. Fez$ 78. 00
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J,z all other laws applicable to the construction, location, and use of buildings within the City of
J O Cupertino will be complied with. 587 N. Mathilda,Sunnyval
gener 3rAddressame
ne 738-16 Approved License 88319—B-1 BUILDING INSRFCI'pR