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511873�3 LOT NO. � J NO. 5 EEl' PW Ai 14 ,FOR PLUMBING PERMIT CITY OF CUPE•RTINO Y (MAY 31 1968 C� Sanitary No. QLL o a pate May 23 1964 Permit No 3 T n p7 p �,6, s—c7 1V iLL r'1'r �'P� lIO Pec$ o Application Whereby ma e to the City of Cupertino for a permit to install plumbing 'o w 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. a ~ Use of Premises Dwelling JLL p O 3 Owner Ditz Crane Company A2&?a s De La Cruz Blvd, oa z� J� By Palm Plumbing Company AIAA Sunnyvale -Saratoga Rd, O CONTRACTOR, AGENT 3 245-2323 — `z Phone WILLIAM D. SENEVICH z w s State License 186579 Approved a PLUMBING INSPECTOR �/ FIXTURES NUMBER MAIN DRAIN UNITS I FEES 11 UNITS I FEES Watt ')bower11 To Prop. Line I v Lavatories �..3 To Existing Kitchen ink / Not Conn. Dish Washer Sewer Box Waste Disposal Material Comb.Sink & Tray I 1 11 To Curb Floor Drain I 1 11 WATER SYSTEM TOTAL �e. li ual 11 main cram r ee Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Skimmer Filter Permit Fee 24E-0 Total /(lam Total Fee I LOT NO. {� NO. STREET Z �ii�►P:PLI AT`IQN FOR BUILDING PERMIT �� W � !� k'� � �� cam:-�`>I ia'' 9 Y o CITY OF CUPERTINO s u w IyI Y u j Sanitary' No. 4� _ Date ,�__, 196 Permit No. o jr7 �n i��/_ u plicaa�tta Zu o opermit to c zz In a story, Type Building aW ato be occupied only as in accordance with o c Plans, Specifications and Plot -Plan filed herewith. 1 Ck Fee `a Estimated Value of Improvements, $ 3. �� 3 P 3,• ��. Fee $ C'�• /� /7 zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and A z all other laws applicable to the construction, location, and use of buildings within the City of o Cupertino w' e complied with. — ,� Owner Address q � �.. �Q w z a By Address.:i a U Phone �'S //—^�(p`�_ ApprovedlM[LL➢AM ©. B1=NTV➢CR 4� State License ! / �� BUILDING INSPECTOR /