51192LOT NO.
m a V�l'JrJ�p�"7royV►,�llivTi@�,Y R BUILDING PERMIT YY
r ° ® CI F CUPERTINO
o < IFEB 20 1968 sanitary No. 7
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Date 1964f'
Permit No.
o ����// canr rpT
OAp�iIl on W cre�ULR Wit to
a
i N a story, Type SI S Building
a W
a; to be occupied only as� � in accordance with
ii o Plans, Specifications and PIOVAan filed herewith. co P1 Ck Fee
�; Estimated Value of Improvements, $ �D 12 Fee
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
r? o Cupertino will be complied with.
3 Owner Address S"izitl /,V "46
N
W Z �
W a By Address07
_
au Phone %:ff ��/
App
State 6-/ rove aS�(-�5� e IiN211:IWICLicense TOR
16TZ4 O I //�-�Z.<!il?.GL� LOT Nn.
NO. STREET
A�. P C14TIOV FOR PLUMBING PERMIT
4�4CI YA� P CUPERTINO
pl Sanitary Nu.
1)5t (' �96a tUUU' Permit No S y..'%off._
vv /�[ (� Pee $ 9S a O
ApAtTlpn Q ereq tj9ERTj 0ity 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
Owner r' ��`� ' Address
By AddressR, AGENT
!tn�
?9G
State License
WILLIAsI C. 13::N—EVI(aEj
Approved
PLUMBING INSPECTOR
ater
rea
ler Valves
RECORD OF INSPECTION
a 0
/91I6O _ I ,t 1 -4 -Al L LOT NO. /7
NO. ./-STREET
i c2f--tel t.
APPLICATIO jFqR PLUMBING PERMIT
tIMA1) CITY OF CUPERTINO
1 G lit) sanitary No. _
Date nrrli 3 _.._ 1.196 L
Permit No ��
`✓: i i'J• (.I t41 -1 I .1 .10 Fee $ 02-%"3
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 Premises`` Tra S•
Owner Urn 9V/J/ES Address \
l3yGJr0ZPrL S*XP►,IJ rim, Address (07-$ fHAS.. .5•J
,CONTRACTOR,AGENT �r
Phone' -6p 8 gosn&
State License 17/s 37
WILLIAM D. GENEVICH
PLUMBING INSPECTOR Z/
>LIY FIXTURES NUMBER�MAIN DRAIN
UNITS I FEES 11 UNITS I FEES
Water
3
M.
Kitchen ink
„SQ Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
/i SQ Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size 1,
Restaurant Sink
Material ks,91.v
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
I Main Drain Fee
Water Leader
Storm Drain Fee
^p
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee Z
D C)
Total 1 3
lq,M Total Fee 2