51001.2I � o% M,C d oC 7.5'
C -/YRTx 9,c4W C I.OT NO.
NO. STREET
w Ti FOR BUILDING PERMIT
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o ® �iSI CUPERTINO
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O J Santa rP iNr O._
iJ It is hereby agreed that the requirements of the Cupertino
all other laws applicable to the construction, location, and
Cupertino will be complied with.
Building and Zoning Ordinances and
use of buildings within the City of
Owner T• �L! � 61_1i� Addres4c2-Z7r (AOTfi AIR&CA
By r /Ls P*�-�� Addre �D�tL. � f4.9/ D�
Phone <7a ?' �Z -2 /q 3 p Approved
State License C l �C d O ^ 9d B❑ NG INS PF.Q'O0.
Date
Permit No.
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0.
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Agp �ja�pn�I¢�ter
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a
I
ermit to
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a story, ype.
..,w?�!%
Building
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to be occupied only as (1) �y
JCo7 in accordance with
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00
plans, Specifications and Plot -Plan filed herevAth.
PI Ck Fee
F;
Estimated Value of Improvements, S, 34100
O Fee S S-'-' _U
iJ It is hereby agreed that the requirements of the Cupertino
all other laws applicable to the construction, location, and
Cupertino will be complied with.
Building and Zoning Ordinances and
use of buildings within the City of
Owner T• �L! � 61_1i� Addres4c2-Z7r (AOTfi AIR&CA
By r /Ls P*�-�� Addre �D�tL. � f4.9/ D�
Phone <7a ?' �Z -2 /q 3 p Approved
State License C l �C d O ^ 9d B❑ NG INS PF.Q'O0.
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NO. STREET
APPLICATION FOR PLUMBING PERMIT
K7
T OE CUPERTINO
. ILI Sanitary No.
Date 7 Permit N
VVI
Pee
APPli�tipt�is jeby Q� i of Cupertino for a permit to install plumbing
Pipes and, Mixt s li � T @ise side hereof, and agrees to install said prices
and/or fixtures in accordance with t e provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
er
Use of Premises l // z2c:2 `' it 1
r
Address.7.2.?/-7r Lh1`7,27 _ &IWCA
i
A
Ar4f
Approved" --.-
10, • • /--.—
UNITSI FEES
Water Heate
Unnal1
*,xture tee
(p, b'Z/
rea Drains
in Drain Fee
Water Leaders
Drain Fee
/ S—O
Sprinkle; Valves
Water Sys. Fee
'
Permit Fee
TOTAL &
TOTAL FEE
S D
RECORD OF INSPECTION
'\lain Drain
Final...
a z z 7 1 e.,Zz/ 46--"j �T LOT NO.
NO. STA I,, El
c- APPLICATION FOR PLUMBING PERMIT
�� 1� CITY OF CUPERTINO _
Sanitary No.
Uate! DEC �/ f7 �- �196� Permit No .5 moo /, el✓
Fee $ .2i •.(O
..n7i hereby, to til
kplilicahon,is hereb}"m�e to�,the City of Cupertino fora permit to install plumbing
pipcs'and/oi'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
OwtlerL�
CONTRACTOR, AGENT
Phone 0293 - kO 7 7
State License. �.3 8' `% 3 J'
Address Ak - 9n=4==
V PLUMBING INSPECTOR /
FIXTURES I NUMBER —MAIN DRAIN
UNITS I FEES 11 UNITS FEES
Closet
Lavatories
To Prop. Line
Not Conn.
Sewer Box
Bar Sink
To Main Drain
Comb.Sink&Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand'I'rap
TOTAL FEES
Urinal
Fixture Fee
V O
Area Drain
Main Drain Fee
�lp�
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
X�,(D
Relief Valve
Gas Fee
j o
Vac Breaker
Skimmer
Filter
Permit Fee 'p- D O
Total /
Total Fee 2
3 0