51001.2 10518 Chace Drive Lor No. 21
NO. STREET 3
W :APC�ATION FOR BUILDING PERMIT
o ! ��
r W 9 CITY OF CUPF.RTINO fs Gee �F
XL� Sanitary No.
sU (APR a i' 1968
i o Date March 28' 196 8 Permit No. -5—.16 d t.VX_
o Application is hereby madnfgqr a rermit to Erect
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i t`n a 1 story,Type 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. P1 Ck Fee
, ; Estimated Value of improvements, S 26,000-00 Fee; 80.50
iJ 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
� O Cupertino will be complied with. 23ft3 PRUNERIDGE AE. S .C.
3 Owner OAK KNOLL COMPANY Address '"
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W By Address
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<U Phone @$L 241-8161 A roved WILLIAPR D. 132,N NICk1
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State License 197558 BUILDING INSPECTOR /
/O g- I (�Ar C, 0, • LOT No
\ �-No., i. STREEI'
f =� t-APPLICATION FOR PLUMBING PERMIT
NI I CITY OF CUPERTINO
y o MAY 1 1n � y� Sanitary No.
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o a Date 7 19({11 Permit No
3
wLL Pee $
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Application is hereby made to the City of Cupertino for a permit to install plumbing
o 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 laws applicable thereto.
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Use of Premises
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2 z py rL% Address_�J
0 CONTRACTOR, AGENT
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< o State License 23893.a. E Approved E1':L:.il1::� :_. -.
— U t , PLUMBING INSPECTOR , /•
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FIXTURES NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater I Size
Water Closet I Material
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Existing
WSink
nk Not Conn.
er Sewer Box
ose
Tray STORM DRAINAGE
achine Size
ner Material
To Main Drain
Comb.Sink&Tray To Curb
Dental Unit
Drinking Fountain
Floor Drain WA'T'ER SYSTEM
Hopper Size
Restaurant Sink Material 0-41
Sand Trap 'T' AL FEES
Urinal Fixture Fee
Area Drain Main Drain Fee ,Q(
Water Leader Storm Drain Fee
Sprinkler Valve Water S s.Fee
Relief Valve Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee Oe
Total 6.0 Total Fee