51001.210508 I Chace Drive LOT NO. 20
t NO. STREET
l�W Z t �►[. IC®)TIOIV �EfOR BUILDING PERMIT
Y LL WI ,?;OF CUPERTINO
ir o � Sanitan• No.
_ ,L Date May 1 3 196_8 Permit NO. _ jee ® a
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o a Ap#�1icat bn yls t3ereby rr d�e fi � p n�nit to Erect
z U) a One story, Type _ 5—� J Building
a
:1 to be occupied only as Single FAmily Dwelling
In accordance with
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0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
,, 3 Estimated Value of Improvements, $ 30,000.00 Fee $ 90.50
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
_J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 N Owner Oak Knoll Company Address 2383 Pruneridge, S.C.
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a By Address
a 0 Phone241+
—_ Approved W)•
State License 197558 l�ra:a-�!iCFZ
BUILDING INSPECTOR
LOT NO.
NO. STREP.T
N APPLICATION FOR PLUMBING PERMIT
t ' 0a P RTINO
w No
.
xo
'it 'y
o <Date N,;veRiber 4, 1968 �0liq�'� i�`it No.
W U �f�l, `968 ���+`� Pee $ 3.50
O Application is hereby made to fhe City of Cuper ni6for a permit to install plumbing
o` a pipes and/or fixtures listed on the reyer'srjc�st��e hereof, and agrees to install said prices
> and/or fixtures in accordance with the prov,issi)—hs of the Plumbing Code of the City of
a m Cupertino, and all other laws applicable there`rr)
W Z
� r
W Use of Premises
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3 Owner W. S. Routh Address 10508 Chace Drive
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zJ
z ByRavne Water Conditionin- Address 243—B Moffett Blvd. MV
O CONTRACTOR, AGENT
3 Phone 967-4545
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w W WILLIAM D. "=N JI I:1
a0 State License C36-165269 Approved
V�. PLUMBING,INSPECTOR
FIXTURES
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
Wash Trays STORM DRAINAGE
Washing Machines Size
Water Softeners 1 1.50 Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
floor Drains WATER.SYSTEM
Hoppers Size
Restaurant Sinks Material
San Traps TOTAL FEES
Urinals Fixture Fee
Area Drains Main Drain Fee
ZX/ater Leaders Storm Drain Fee
SPrhklrr Valves Water Sys. Fee
Permit Fee 2.00
TOTAL p TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete-
Alain Drain
Final...