51001.4Ainsworth DRive IorNo /10530
102
NO. STREET
W < APPLICXTION-F-OR_ _BUILDING PERMIT
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GIS'L F ,CUPF.RTINO
o 7 " Sanitary No.� �Uate May 41�� Q� :l Permit No. —5% 0 o
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U. W Application is hereby made for ermit to FrPet
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N a' One 'story Type �5'1' ' Building
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a to be occupied only as Single Family Dwelling in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
F 3 Estimated Value of Improvements, $ 30 ,000.00 Fee $ 90.50
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
-J o Cupertino will be complied with.
3 N Owner Oak Knoll Company Address 2383 Pruneridge, S.C.
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W a By Address
a U Phone 241-8161 Approved VII9LLlAfYl. b. I3ENMI-jICH
State License 197558 BUILDING INSPECTOR
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FOR PLUMBING PERMIT
OP CUPGRTINO
Sanitary No.
5 6t:a
Dat�J Ift Iq /�6 11{,�196Z Permit No.-100I,el
Irk �tl2�l' Pee$ot1-10
Applt htis h�reby rA �0 t e City of Cupertino for a permit to install plumbing
pipesiand/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.
Addresa, 1g,
Phone a`7&—CPZ;777 v
State License o'23IP69I
Approved WILLIAM D. SENMCH
4 PLUMBING INSPECTOR
FIXTURES NUMBER jj MAIN DRAIN
UNITS I FEES 11 UNITS I FEES
Water
JhowerTo
Pro .Line ✓
Lavatories .
1b 1'.xistin
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink ' "
To Main Drain
Comb.Sink & Pray
To Curb
Dental Unit
,��r„ ✓
Drinking Fountain
Floor Drain
WATER SYS'T'EM
Hopper
Size
Restaurant Sink
Materia 7 v
Sand Trap
'TO'T'AL 1; ES//-
Urinal
Fixture Fee
Area Drain
Main Drain Fee <570 a
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee I&I -OC/
Total