51167.1Xj7Nh� STREET
//,IZ- 55'1),:! 9%%�ff', - LOT NO
IJ N d
WZ
S a
r O
a U.
O
SV
W W
xO
F
W W
o�
a
z U1
a W
W 2
a~
O O
>U)
oa
ZJ
J Z
J O
3 �
a
W Z
W W
� a
t7 F
aU
�� PPL•I:C , TI®N FOR BUILDING PERMIT
Ark OF CUPERTINO
E Sanitary No.
UateL'I9Permit No.
I-19
Application is hereby made for a permit to/%e1J;7WeL
a 1 1 ,! �1 st � ERTI O Building
to be occupied only as
in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
n
Estimated Value of Improvements, a Fee
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
By �S �c��/J'� �tcT/L�.c/ f. Addresas3'2i 1d 71.DC D10
Approved 1
State License 3 BUILDING INSPECTOR
o2/%iSI LOT
NO. STREET
m Q
wz
6U
moam 44, Fr LI ION FOR PLUMBING PERMIT
OF CUPERTINO
Date. 20 N8 1968
Sanitary No.
Permit No 5 /�(- 7.
, -
Fee r� Fee S �1
A'l1 Ij-Mio r h r `f § Ptl` A 'thiQ City of Cupertino for a permit to install plumbing
pipctd/or�ttur�(I tt`�l{evcrse 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
OwneP�!�%�1�� /i%�O�E/.F/6 �l�Addres�/%%�LGL�I/NGI.�+B'�✓ST.
By� fJiQ�S�. �• Address��/OE ��•
CONTRACTOR, AGENT
Phone,,,
State License i Approved/ i
PLUMBING INSPECTORv
FIXTURES I NUMBER MAIN DRAIN
UNITS Fl,
UNITSI FEES
Water
To Prnn. Line
Lavatories
Kitchen Sink
Dish Washer
Waste Dispo
Comb.Sink&Tray I 1 11 To Curb
FloorDrain WATER SYSTEM I
Hopper Size I
NESYKIwom
Main Drain Fee
Water Leader
Sprinkler Vah
Vac
Permit Fee
Total ry4 ov Total Fee
pf�// `+/ I C/c�C�C .I �✓ LOT NO.Z
NO. STREET
N e'APPLICATIONI,,FOR PLUMBING PERMIT
J CITE' Op CUPERTINO
wp
rS F 1967 . Sanitary No.
¢ _
o a Date/� ` (� ,/19622 Permit No
3 "
CITY li.l lr��f T-ID �lt I Pee $ a3 S�
o Application is hereby mad 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
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 '
~ Use of Premi esi
oaOwner` T' /Gli. Address
z $yW�"//inr .tGi i-1 Adi3 ress
O C TRACTOR, AGENT
3
0< Phone
w z
State LicWILLIAMp a �yG3��� Approved r)• BENEVICI-I
11 a o ense
N ,
—U PLUMBING INSPECTOR L
FIXTURES NUMBER MAIN DRAIN
UNITS FEES 11 UNITS FEES
Water Heater Size
Water Closet ?i Material
Bath Tub To Curb
Shower / To Prop. Line
Lavatories 1p To Existing
Kitchen ink / Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray STORM DRAINAGE
—
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&'fray To Curb
Dental Unit
Drinking Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TO'T'AL FEES
Urinal Fixture Fee
Area Thain Main Drain Fee
Water Leader- Storm Drain Fee
Sprinkler Valve Water Sys.Fee /p Q
Relief Valve Gas Fee c.37f
Vac Breaker
Skimmer _
Filter
Permit Fee
Total —5V Total Fee