P#360/G I LOT NO.---- -- - -- -
STREET
APPLICATION /OR BUILDING PERMIT
CITY OF CUPERTINO
Date 195_ Permit No.
n i m ` e it to
a s ory, Type Building
at MAY 2 5
to be occupied only ac
tCC L
� in accor a�' c �vJo an
�Ed Plot -Plan filed herewith.
sS o
Estimated Value of Improvements, $ ��� �� Fee O
h
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
l Cupertino will be complied with.
v
Own / Address 9 /jam /', u �,C�/✓�
By Address a `f Z' c r
CONTRACTOR, AGENT i
Phone Approved f' /,I
BUILDING INSPECTOR L_
RECORD OF INSPECTI
FOUNDATION 411.2el,47 1-�
T
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
/,-/ATE/
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1TB
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ATE
PROVALS
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INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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INSPECTOR
/ D b 7/ I '& , LOT NO.
NO. STREET
ION FOR PLUMBING PERMIT
CITY OF CUPERTINO
4 BSEP -rA
hr� Date19� 1 Permit No.
�41TYOF CUPERTIN Fee $ =
I� NO
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of
a
v
.. W1
UNITS
FEES I UNITS I FEES
jWater Heater I
II Size
Water Closets
Material
Bath Tubs
�I To Curb
Showers
To Prop. Line
Lavatories I
I� To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Waste Disposals
Wash Trays
RM DRAINAGE
Washing Machines
�� (�I Size
Water Softeners
Bar Sinks
Material I
To Main Drain
Comb. Sink & Traysl 111
To Curb
Dental Units I 111
Drinking Fountains
Floor Drains
I� WATER SYSTEM
Hoppers
�( Size
Restaurant Sinks I
�� Material
Sand Traps
TOTAL FEES
Urinals (
�� Fixture Fee
Area Drains
Main Drain Fee
Water Leaders
Storm Drain Fee
Sprinkler Vaives
�� Water Sys. Fee
Permit Fee
TOTAL
---ft—TOTAL FEE
RECORD OF INSPECTION
Partial Rough
Rough Complet
Final
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date --------- ------ ........ ----- ------- 195---" Building Permit No.
TheBuilding Located at -------- -------- --- -------- - ---------- --------------------------- --------------------------------
Ownedby ............... I ........ ------------------------------------ ---------- .......................................... ----------
Has Been (Completed) For Use As:...__.,........... ------------------ ................. -----------
Altered)
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BUILDING INSPECTOR
102 2/59-250