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NO. STREET
Pl .A �FAR BUILDING PERMIT
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99
Sanitar, No.
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Permit No. SI/if 7
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A�pliettti!in 55ss herel+jtYn elnra per to
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a _story, Typr.
Building
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I, be occupied only as d2. ,�->..
in accordance with
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Plans, Specifications and Plot -Flan filed hcrherewith.
F] Ck Fee
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F3:Estimated
Value of Improvements, 5,.S�4�.
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It is hereby agreed that the requirements of the Cupertino
Building and Zoning Ordinances and
z all ether laws applicable to the construction, location, and use of buildiri within the City of
J O cup. 11 1, nenn1 with
,n OwnerF�" Addres
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a a. By___ Address
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U Phone oZ. may—=r= Approved WILLIAM D. BENEVICH
State License_ eunDINc INSPrcToa
LOT NO. / 114
APP6&TION�FOR PLUMBING PERMIT
I CITY OF CUPERTINO
APR o h
� 1„6S � sanitary No.
Date _.March 29, 1968 196— Permit No 7
Pee 3 OC 3�So
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 Dwelling
Owner Dtiz Crane Co. Address 2
By Palm Plumbing Co. Address 1234 N. Hwy 9
CONTRACTOR,AGENT
Phone 245-2323
State License 186579
VVILLt,+.,A U. Lsr.tVGN1C 4
^. PLUMBING INSPECTOR
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FIXTURES I NUMBER MAIN DRAIN
UNITS FEES 11 UNITS I FEES
Water
Kitchen $ink Not Conn.
h Washer Sewer Box
Waste Disposal
Machine
Comb.Sink & Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Urinal
Water Leader
Relief Valve
Vac Breaker
TOTAL
Permit Fee
Total Fee
ee
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