51001.2 / / 9de I `� LOT NO. /
NO. STREET
APPLICATION— IJMBING PERMIT
ro � ;� C� TS�}OF,t UPR iNOy '
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SanikDr \o.
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3 < Date + r i, I e J968 Permit No
W Pee $ 3.50
� 0
LL w Application is hereby�in5& td?tlk City 6ft'_fiupertingqfor a permit to install plumbing
0 a pipes and/or fixtures listed on tfie reveislrside her'io`f, and agrees to install said prices
and/or fixtures in accordance,with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w x
w Use of Premises
00
3 Owner R. E. Olson Address 10496 Chace Dr. Cup.
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J B Rayne Water Conditioning Address 243—B Moffett. Blvd.
2 0 y CONTRACTOR, AGENT hi
—
Phone, 967-4545
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< 0 State License C36-165269 Approved
U PLUMBING INSPECTOR
FIXTURES 1
UNITS FEES UNITS FEES
Water Heate Size
Water Closets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Was-Trays STORM DRAINAGE
Washing Machines Size
Water Softeners 1 ,50 Material
Bar Sinks To Main Drain
Com . Sink-& Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee
xA`Ir.ea Drains Main Drain Fee
Water Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee
TOTAL TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final...
10498 I Chace Drive LOT NO. 19
NO. �STR66T
W ® �iAP_PL�CATION FOR BUILDING PERMIT
° [CITY OF CUPERTINO
11
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APR 16 1968 N Sanitary No.
i u Uate Anri 1 a 196_8 Permit No.
O
o CI.canigrn isCWrREh
0a permit to Erect
a
i m a one story,Type- 5-1—J Building
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to be occupied only as Single Family Dwelling in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements,$ 30,000.00 Fee$ 90.50
oa
z J It Is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
3s OAK KNOLL COMPANY 2383 PURNERIDGE AVE. SC
— < Owner Address
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a By Address
of
a ° Phone 241—g1
63 ApprovedWILL1AM D. DC-.N...r.
VICF{
State License 197558 BUILDING INSPF.CI'OR
/o 'W1 0-1/6cF- nk/ uc- LOT NO.
NO. STI EE.I'
NA�PPL[CATION FOR PLUMBING PERMIT
w < — CITY OF CUPERTINO
wa
r rc Sanitary No.
31)
atleY 1 :RFRU 1961 Permit No
w LL Pee $
10
Application is hereby made to the City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> I and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other la«'s applicable thereto.
w x
� r
Use of P�-Aemises A,v�/��
00
3 Ow' ner ✓Ld"' r/ Addres51621 '
OJ
zB �v Addre�s
O CONTRACTOR, AGENT
3 < '— `!
— 0 Phone -�
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u F State License 2 �9�J� Approved
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U / ✓/
I _ / PLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater Size
Water Closet Material
Bath Tub To Curb
Shower To Prop. Line
Lavatories . 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 Materia
Sand Trap TOTAL FEES
Urinal Fixture Fee
Area Drain (\ in ain Fee .ao
Water Leader Fee .SO
Sprinkler Valve Water Sys.Fee . SQ
Relief Valve Gas Free
Vac Breaker
Skimmer
Filter
Permit Fee of .
Total / 6.S Total Fee