51187LOT NO.
NO. STREET
N Q APPLICATION FOR BUILDING PERMIT'
ZZ
° CITY OF CUPERTINO �G
a Sanitary No.
S U -, P�,
= o , c .I� + n t a 196- Permit No._
t:
o W Application is hereby made for a permit to
a
Z to �'rG �1K i7 Buildingp
Q W L1 C ! 1 7 I SA
ato be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
in
�_ 3 � Estimated Value of Improvements, ,fi . �i�i� Fee $ ��
z J 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
O Cupertino w be omplied-with.
3 N OwnerAddress
Ul a By —
Address `mac
a o Phop
`� �02�/� 5 �(IlILL1,4i L�. �'�? t✓'J:�E%
_ U / Approved
kState License BUILDING INSPECTOR S
LOT NO.
NO. STREET'
® R C/FTiON40R PLUMBING PERMIT
[F CUPERTINO
MAqY 2� 1968 {� sanitary No.
Date 3Y 15, I(A Permit No
MV (� {� p /� Fee $ o2 3. 1�
Applicattiidn ilo&eBy����iEKTAJOty 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 Premises DWellIng
2295 De La Cruz Boulevard
Owner Ditz Crane COMD9U Addres
123lt unn7vale_Saratoga Rd.
By Palm Plumbing Company Address
CONTRACTOR,AGENT
Phone -245-2323
State License 186579 ApprovedMIL I.IAM D. BENEVICH
%� PLUMBING INSPECTOR y
FIXTURES I NUMBER �I MAIN BRAIN
UNITS FEES �iNrTc ��rc
To
Washer
Washing Machine I / 1 11 Size I I
Comb.SinkBTray I 1 11 To Curb
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
'TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Stom Drain Fee
S rinkler Valve
Water Sys. Fee /
4/
Relief Valve
Gas Fee
/
Vac Breaker
Skimmer
Filter
Total Fee