51187LOT NO.
N NO. STREET / /_ O 47
a FOR BUILDING PERMIT 7
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Y ° OF CUPFRTINO
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Date
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5anitary No. G
6� Permit No.
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ermit toc
Building
to be occupied only as , ! in accordance with
Plans, Specifications and Plot -Plan filed herewit r P1 Ck Fee
Estimated Value of Improvements, $2:;_ d Fee
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
Cupertino will be comp 2 d with.
Own Address
By Address
Phone o�.S —��� 3 Approved .WIL LI.=M D.
State License — x BUILDING INSPECTOR /
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LOT NO. /
NO. STRP.P.T
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APPLICATION FOR PLUMBING PERMIT
C.LY OF CUPERTINO
l5,8
Date A96—
-,a!IVHI 61 000
Sanitary No.
Permit No
Pee S
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes!3h �br Ci cfureCU rt��TtlNQverse side hereof, and agrees to install said prices
and/�`J'rt Wures to accorc ante wi h t e provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner Ditz Crane Company Adct gc De La CmzLABOulevard
By Palm Plumbing Compar7 ARAs4 Sunny -vale -Saratoga Rd.
CONT
,R, AGENT
Phon4�- �'86579� ��} X31.1
WILLIAM D. CiENEVICH
State License- It Approved
A PLUMBING INSPECTOR
FIXTURES
NUMBER
11 MAIN DRAIN
UNITS FEESUNITS
FEES
Water Heater
Size
Water Closet-
Material C
Bath Tub
/
To Curb
Shower
To Prop. Line -�
Lavatories
2
To Existing
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washin Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink&Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee �5
Water Leader
Storm Drain Fee
Sprinkler Valve
Water S s. Fee
Relief Valve
Gas Fee /
Filter
Permit Fee ;5-6Yy
Total .9 IG'JV Total Fee Z - )'-27