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1179
tJjE•QVC. LOT NO. NO. e S"REET APPLICATION FOR BUILDING PERKY CITY OF CUPERTINO V/■'�`"_"�— , Permit No. t licItOnj e1-7 b for a per to E lZ k C a ©N story, Ty � Building LTY OF C_UPERTf to be occupied only as 18 i X ;a 61 CAICiDo� in accordance with Plans, Specifications and Plot -Plan fileJ herewith. �o 00 Estimated Value of Improvements, $–,:500 _ Fee $ v C 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 F j Cupertino will bec plie4 wi Owned( Address N �j; y Addres J TRACTOR, AGENT Phone ( Appro BUILDING INSPECTOR RECORD OF INSPECTION APPROVALS FOUNDATION Z Z(AT&"SPE' TOR FRAME DATE INSPECTOR a LATH and PLASTER DA E INSPECTOR FINAL BLDG. ' DATE INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE INSPECTOR I, the undersigned do hereby certify tha' I atm the owner and occ ant of the single favdly dwelling at 6�� + A — , for which I arr making application to do �.-� 2 - JjZ�rk as a home owner.' I G so certify that I will not hire any non licensed �KN�—R contractor, but will do this work nyself. TELEPIU,'E?li�BL+IZ SIGNATURE LOT NO. Alp. STREET Aftti rP"ka4F PLUMBING PE 1T* ITY PERTINO /�OZDJ If JAN 31 1961 l Date , 19 Permit No. / d%V CITY OF CUPERTINO Fee , a 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 there . Use of Premises y -ZOwnery Address By Address CONTRACTOR, AGENT - j Approved �INSPICTOR Phone ppPL 1- UNITS FEES 11 UNITS I FEES Water Heater Size Water losets Material t*,, . r Bath Tubs To Curb Shower-, To Prop. Line Lavatorie! To Existing / , �I Kitchen Sinks No Dish Washers Waste Disposals I (� �� Wash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material I Bar Sinks To Main Drain Comb. Sink & Trays To Curb Dental Units �� Drinking Fountains III �_ Floor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material Sand Traps TOTAL FEES Urinals Fixture Fee , of Area Drains Main Drain Fee , O� Water Leaders Storm Drain Fee Sprinkler Vatves I I II Water Sys. Fee 2, Permit Fee T TAL 11 TOTAL FEE, Rough Com*te ids - 1• 1, the undersigned do hereby certify that I am alae moaner and occupant of the single family dwelling at ✓'�" _ C.G^ �• , for which I am making application to do work as a home owner. I also certify that I will not hire any non -licensed or contractor, but will.do this mark myself. Z.� -3793 TELEPHONE NUKBME, rti ijanitary A 'V %At cc Copy BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO pp Sewer Connection Sanitary Permit No. -------------------- [g,--Plumbing Final Plumbing Permit No . ..... 4' .......... LotNo- ---------------------------- Owner or Tenant ---------------------------- r------ ------------------------ ------------- At ......(� — . .......... ....----------------- ..... Tract..................................................... .........:/ -------------------- ------------ ------------------------------ DateConnected .......................... ...................................... --------------- DateFinal ------------------------------------4. ----------- -------------- ---- ----------- -------- f I ge .......... .............. PLUMBING INSPECTOR 111 1/60-500