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51158 v ` /SSS . Lot No. No. Street - CITY OF CUPERTINO APPLICATION FOR BUILDING PERMIT ` Sanitary No. File No Data 19 i Application is hereby madefor a permit to a story, Type to be,occupied only as ' in accordance with plot Plan, Plans'and Specification filed herewith„ Estimated Value of Improvement. $ FEE$ 'Plan Check'$ t Owner Address Contr. Address Phone State License I I - Approved r 1 � I r APPLICATION FOR ELECTRICAL PERMIT Date 9(��' 19 FEES 7 '�— _ J 4 Contr. �/��+�+� r' ^•cam Address .^ zed t/�^" `""' Phone�l��QY, ) .P a-/ 7 9'Z State License • 'e Approved APPLICATION FOR PLUMBING & GAS PERMIT z Dote of- E% 19GAS FEES `3 S PLUMBING FEE $ Conti. Address �/ Phone Stats License, r Approved ALICATION FOR APPLIANCE PPPERMIT Date sw36 19 -7/ FEE$ -� - Contr. <--� Address !� Phone - 37 7 S� '7, ,., State Licensen22 2' Approved Applicants agree not to violate any of the Workman's Compensation Law's of the - c State of California � 'i � & - - f ; -PD-1 RECORD OF INSPECTION APPROVALS BUILDING •\ DATE INSPECTOR MISC. PAD FINAL FOUNDATION UNDERFLOOR _ FRAME LATH 8 PLASTER _~GRADING FINAL FINAL BLDG. ELECTRI L ATE INSP EC O MI5 --------------------------- UNDERGROUND R 0 ROUGH WIRING s FINISHED WIRING FIXTURES MOTORS FINAL • ' I PLUMBING,'GAS &APPLIANCE DATE INSPECTOR MISC. BACK FLOW REQ. SANITARY NO. . UNDERGROUND ROUGH PARTIAL ROUGH ROUGH COMPLETE MAIN DRAIN FINAL PLBG. FINAL GAS -7/ ok FINAL APPLIANCE DATE IqFPECTOR MISC. MISC MISC ... _.. . MISC r r CITY 'OF-•CURERTINO� 10300 Torre"Ave. R �T IO N rN;OT i C E1 , . _. .. +lr1me11}. J oca d t 1 . t .._:. _ - 'L i �r t : I' tra., '1 j i - - You are hereby notified that_no more work'shall'-be ^;dorieAuntilutheeabove"violation's°are",corrected:•When^' corrections ham been made IlAthe1 nspector 252.4505 s . Date 2� . 1 + - "CitY' e Telephone: In'sp . CITY,-OF CUP.BRTINOI " d 10300"Torre Ave. f Ilfa daT10N""NkO"TACE �,�.* _ —_� . Pip e -- I - �8lyl Y - Sh CN Department P, r I > - ' C..1.1 e . Job ' ocated at" yj --- u f lu 1 .- 1 �', 1, I; t N, a. .,• 5 � , i 4 - .. 1 J w • t r 1 , s ti r .. t i ..,t 1 f f : �� 1a•f v I —bIt 0 O . 1 -- ::... ^.............. I 1 ^r 1 I ..ti pf� f You are herebynofified.that no more work is,all!be 9,.do'ne antillthe above,Vibla'tiofis'' a corrected:.Whe'n, corrections have been mad the ms ector 252=4505 ' " Date - Y City,,.Telephone 5 Inspec co CF QUrcAtMO Street - ° •• Lot No.' 1 . APPLICATION FOR ELECTRICAL PERMIT . SEP. CITY OF CUPERTINO D#p 196 Permit No. E Fee$ ' o ,o 3 : Application is hereby made to the City of Cupertino for a permit to ins[all�'I ctncal wiring x'U and/or fixtures as listed on the reverse side hereof, 'and agrees to install said wiring and/or o fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino;and all other laws applicable thereto. $ Use of Premises r~ e ,° ArY 400a' 5 3._Owner /'/O V iR /f 1C.0,P t Address A eGNQ • o. g Ad �w�Git/ .. - Contra tor,Agent Q Appro _ E Phone ,�r.�3� �'� �77•' - lee tcalInspector' 0 State License a y/ �Y 1 .w �0 •a �' w a �d 6 3 `0 0 0 0 c 0 0 .c u �, yZz h $ ,a° a°'. x O ioa53 'p� 1 OT NO, NO. STREET w APPLICATION FOR BUILDING PERMIT o TY. OF CUPERTINO ' Y � Q LL. 3 a �. P ,. Sanitary iso. U i�s11 r7 1 ILL . Date ' r (� Permit No. 1 LL F (i�tt�ih ishhre y made or a permit to oa i to a �/ a s Building ato be lc'VedQ��[[y a R' in accordance with 0 o Plans, Specifications and Plot-Plan filed herewith. _ P1 Ck Fee _ > ; Estimated Value of Improvements, $ Fee iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning.Ordinances and * i all other laws applicable to the construction, location, and use of buildings within the City of J O Cupertino will be complied with. 3 40a5t oL f/£< Address 1004"5 M/cc sit _ m Owner rc a By OF nXlqls[C.✓ - �LCNH.IO- 0 Phone ?7L}/2 3 Approv State License 2�9��� ILDING INSPECTOR IOT NO. p^ 200 NO. STREET N Q z = APPLICATION FOR BUILDING PERMIT f � r o TY Or CUPERTINO o a Sanitary No. 3 ® e Permit No.o i *tw 4 1 Nh ication is hereby made for a permit to o < r Building a w T r ''%dccu�.ed only as in accordance with a o_ o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee > N 7 e' e 3: Estimated Value of Improvements, $ csy Fee$ oa z J 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 d o Cupertino will be complied with. 3 N Owner s✓56 �F /?/f5 Address /Do 6 J /44cY2 M a By ©T i✓ ,�/✓A,w *4u <0 Phone .3%f�- Yp2 3 G Approved State License L/ / f'd we INSPECTOR 10055 Miller er (Fence) «^'NO. STREET - - LOT NO. i - CITY OF CUPERTINO •50 APPLICATION FOR BUILDING PERMIT SANITARY NO. FILE NO.. 51,158 DATE 7/9/75 19 Application is hereby made for a permit to Install a -- story, type Wood to be occupied only as Fence in accordance with plot plan, plans and specification filed herewith. ESTIMATED VALUE OF IMPROVEMENTS.$ 200 FEE $ 5.00 PLAN CHECK $ OWNER EdWin C. Daly ADDRESS . Gene Saalwaechter, President, Los Mine Restaurant, inc. PHONE 926-4975 CONTR, ADDRESS STATE LICENSE APPROVED J.Busto/h BUILDING INSPECTION RECORD - - - DATE I INSPECTOR DATE I INSPECTOR BOND BEAMS I I I LATH LANDSCAPING FM . INSPECTION FINAL BLDG. UNDER -FLOOR TIEDOWNS DIAPHRAMS & EXT. FORMS I NC.. LA EI ECTRIrAI INSPECTION RECORD RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR UNDERGROUND ROUGH UNDERGROUND ROUGH ROUGH WIRING ROUGH WIRING FINISH WIRING FINISH WIRING FIXTURES INTERIOR FIXTURES MOTORS EXTERIOR FIXTURES FINAL MOTORS FINAL PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR BACK FLOW REQUIRED UNDERFLOOR S.M. BACK FLOW INSTALLED DUCTS & INSULATION UNDERGROUND ROUGH FLUES & COMB. AIR PARTIAL ROUGH CONDENSATE DRAINS ROUGH COMPLETE" FINAL APPLIANCE ROOF DRAIN & LEADERS MAIN DRAIN FINAL GAS FINAL PLUMBING MISCELLANEOUS LOT NO NO, STREP.I' APPLICATIfly,OR PLUMBING PERMIT !" d CITY IF CUPERTINO z i y A o 1 Sanitary No. 1�170 i a a Date 70 Permit No J 3 nn 1111uu��ppTT11nn11nn Pee $� ° App r tTo� i3OFebQU li-R 1id`t�y of Cupertino for a permit to install Plumbing o a PiPes and/br fixtures listed on the reverse side hereof, and agrees to install said prices > r- 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 r r J 4 Use of Premises ��/""^ �° '� 4-' 00 > N 3 Owner / S Address 0J zS = o By �e-- CO RACTOR, AGEN Address ^ / 3� Phone 977-el r7 w z / State License. -2 y7�x -P Approve PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower To Pro . Line Lavatories To Ex' tin KitchenN no Dish Washer Disposal Tray STORM DRAINAGE Washing Machine Size Softener M ink T Drain .Sink & Trey To l Unit ADmin in Fountain Drain TER SYSTEM r e urant Sink I Material Trap TOTAL FEES l Fixture Fee rain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System / Water Sys. Fee Rclirf Valve Gas Fee ! Vac Breaker vels { Skimmer Filter Pool Sweeper t Permit Fee Total Total Fee 0 0 < /4a� I aY-_ LOT NO, STREET FOR PLUMBING PERMIT ® 9 OF CUPERTINO _ Sanitary No. I�nt �' �6 �6 196� Permit No `�Zt c ao 9U i"9h� Pee $ Ap{jl+Ft�'iot{��he < City of Cupertino for Permit to install plumbing Pipe , n or xtures listed on the reverse side hereof, and agrees to install said rites and/or fixtures in accordancowith the provisions of the Plumbing Code of the City of Cupertino, and all other.F:Cv/s applicable tlterHo—�) Use of Premises /ptete License - -2-& Approved_ IF PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater . S Size Water Closet Material Bath Tub To Curb Shower To Pro . Line Lavatories t319 To Exist' Kitchen i Not C nn Dish Washer 7� Waite Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb.Sink & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Ho r Restaurant Sink Sand Tra FEEUrinal AFeec 0Area Drain ee BDWater Leader FeeSprinkler System ee Relief Valve Gas Fee i Vac Breaker Skimmer Filter 1 Sweeper Permit Fee 6t'7 Total Total Fee. jam' An No 4 j�SG,eeta fase� 1I - - Lot No. rw—I �P,PLIGATION EORtAPPL1ANCE PERMIT City of Cupertino �.53 TIP'0Permit d Date ".�"e. 7 t 196; F e S O W Application is hereby made to the City of Cupertino for a permit to install Sae appliances as $ „V„ listed on the reverse side hereof, and agrees to install said appliances in accordance with the `o 0 provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Y � Use of Premises 5: Owne n ° c ��/ J• ° By Addres 3 C dfractor, Agent - 0 c Phone State License ApprovedbL ✓ bing Inspector APPLIANCE UNITS FEES as op Gas Oven Wall Furnace Gravity Fum. Forced Air Fum. Gas Fired Boilers _ Warming Ovens Sus . Units Dwelling Kit./Bath Inde end. Vent System Com. Indust., Inst.Kit. Hood & Vent System - Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System (without CoInfart COO] � Forced Air. Mech. each Power Gravity System _ ' No. of Air Outlets, No. of Flues Stacks for Metal Fire laces Smoke Stacks, Misc. Equip. Under 15' High J:a A� Comp. of 20 HP or less �QO & absorp. units with input Of 500,000 BTU or less Comp. over 20 HP & Under 50 HP i & Absorp. units with input Of 500,001 & Under 1,000,000 Pemut Fee 1 Total Total Fee / , pU y� / of 2 /QD55 /rl iLLEY- ye- LOT NO. NO. STREET APPLICATION FOR APPLIANCE PERMIT CITY OF CUPERTINO Date 19{f� Permit No. 5//d V Fee- $ Application is hereby made to the Cityof Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of PremisesD.LlF�.UL l flOttS!d_ A( Ownerl� AAddress By C iL/ i Address CONTRACrO� Phone State License 2 0 7 Approved PLUMBING INSPECTOR 5 Type of Appliance 'Units Fees II Remarks-Khedc i" New' -[I Replace I Relocate Gas Ranges \�Uall Heaters II i I Gas Plata • II I I Circulating Haters I I. 11I I Blower Furnaces I I II I I -Gas Fired Boilers I Warming Ovens 1 I II I I Percolators I I I I Griddles I I II Steam Tables I I II I I Gravity Furnaces I I 11 I I Suspended Unit I :I:loor Furnace I II i 2 D s NJ Ix I ooi I (NAME TYPE) - I I I L Garet: -,-c. I Il I zS II os _ I f,Atlei, UPA1- I t I imp it /ea 1 t UUAQ I i I z" I ado wa • Crk o• I I 94+-II _Zpr'' 900 _ 1 _ — Appliance Fees /4�S — — - -. Inspected and Approved .......... . .. .......... ` ........------------------ UU DATE WI ECTOa K� EC�VIP I�oOO,S �Z" ��S, OD t'1°♦r� J,00 �1'2 OATLr7S�^7r�LtTI �j�@ �S--25 1� �•75 O0t,"I. 1 /U,DQ .Ocprx� CD Ov,l FA--f z e 7. 00 t"N o;. �5 era. 00 LOT NO NO. STREET CITY OF CUPERTINO tl i WATER DEPT, CITY OF CUPERTINO w ICATION FOR APPLIANCE PERMIT ¢g AUG26J§ff 3 U Date19 Z Permit No. =o ,Fee$ T ,0 Application is hereby made to the City -of Cupertino for a permit to °o F install gas appliances as listed on the reverse side hereof, and agrees to <m install said appliances in accordance with the provisions of the Plumbing = Code of the City of u ertino, and all other laws applicable thereto. S1 Use of Pre ises • 10 / �`�l O ; Owner oa ZJ �,z By O CONTRA OR, AGENT 3 3�1-G94Z — Z Phone a ao State License3 `f 141'� .04 C Address 4-R1 APPLIANCE UNITS FEES as op Gas Oven r� Wall Furnace Gravity Furn. Forced Air Furn. - Gas Fired Boilers Warming Ovens Sus . Units Dwelling Kit./Bath Inde end. Vent System Com., Indust., Inst.Kit. Mood & Vent System Forced Air Under 4000 CFM Forced Air Over 4000 CFM Ind. Ventilation System without Comfort C9521.) Forced Air. Mech. each Power Gravity System No. of Air Outlets, No. of Flues Stacks for Metal Fire laces Smoke Stacks, Misc. Equip. 15'High _Under Over 1 5' tiich Comfort Cooling Comp. of 20 HP or less & absorp. units with input of 500,000 BTU or less Comp. over 20 HP & Under 50 HP & Absory units with input of 500,001 & Under 1,000,000 Permit Fee •� Total Total Fee No. Street - Lot No. APPLICATION FOR APPLIANCE PERMIT City of Cupertino Permit No. 5115e Fee $ -7 (� Uppll�aYi�n is hbrdb}� irfade o+the City of Cupertino for a permit to install gas appliances as ,,.., listed on the reverse -side hereof, and agrees to install said appliances in accordance with the 0 provisions of the PIj ��jQ�e of the City of Cupertino, and all other laws applicable a, thergto.� C��I IIVV y Usee of Premisese � 0 0 ' tl OHO /C�15 3 OwnerO�%6/�tbli �O!/JCOj7 �hL�S Address %0r lfwaylldwr ° /� ,,%� Isfy� .f .SwAy__ o By !/O*YA0.�6s� �%✓C Address �r 3 Contractor, Agent 4;AeJNA1',4 C �� Phone '0�% y1 U �.}. State License � 1'Approved C PI bing Inspector / APPLIANCE UNITS- FEES�� Gas I op Gas Oven Wall Furnace:- Gravity Fum. ,Forced Air Fum. -Gas.fired;Boilers Warming Ovens Sus . Units Dwelling Kit./Bath Inde end'..Vent.S stem _Com. Indust-, Inst.Kit. _.-Hood`&Vent System Forced Air Under 4006,CFM - Forced Air Over 4000 CFM --Ind. Ventilation-5 stem. - without-C Forced Air. Mech. each Power Gravity System No. of Air Outlets, No:.`of Flues - - Stacks,for Metal Fireplaces Smoke Stacks,.Misc. Equip. Under 1-5' High` vigh ' Comfort Cooling' &.ahScfo-smmts withtulpu"t' of.50D'OOII*BTIJmoYless, , a 3 . °,s' Com ..lover 20 HP�&`Under.50;HPp -& Absorp.units with -input -- of 500;0014 Under 1;000;000 Perrait.Fee �f I+QV. Total Total Fee No. Street Lot No. C+ASP (CATION FOR APPLIANCE PERMIT r�iggq' City of Cupertino UI �y Permit rmh S I I Sd u 1 IH Feee $ 3 . S O -r6fA Appli� [io hereb made to the City of Cupertino for a permit to install gas appliances as �ste� n �t rev WAR agrees to install said appliances ordance with the provisions of the Plumbing ode of the City of Cupertino, and all other laws app a e thereto. ]� Use of Premisesn�{,�=���' Ownler2��� ,�' Address t, Address ' 10 Contractor, Agent Phone z9s -0 96j�7 �Cl ,�JJ� State License .20 % 2 L�— Approved �/ Pk6bing Inspector APPLIANCE. UNITS L FEES Gas I op CCias Oven Wall -Furnace - - GravitY'Furn. .d Forced Air Fum. Gas,Fired Boilers WarmOg Ovens -Sus- .Units Dwelling Kit./Bath - 0� Inde end. Vent+S. stem Com. Indust. I nst. Kit. :Hood & YenYSystem _' rFdreed Air Under 4000[CFM _ 'Forced AirOver 4000 CFM ,Ind. Ventilation System ..without Comfort `Forced Air.'Mech. each Power Gravity System NG.:6f,Air'Outl'eis,"N'o.'bf'Flbes -' y Stacks for Metal Fireplaces 'Smoke, Stacks,,Misc. Equip, - - .Under 15.' High OyevW!Hqph lie �. OomforcCoolingt "�° r& absorp`:,tinSts witll'tuiput Com .:over 20.HP,& Under 50'HP' - - ,& Absorp. units with. input - of 500,00:1 & Under 1,000,000 Permit Fee .0 Total Total Feez lk,S /v e S-sS /W/Z`tJ8 e & Richmond Dr. No. Street Lot No. 0 �J��j� `�ht3P 1 LION FOR APPLIANCE PERMIT / City of Cupertino d DA QA&�' �31971Q&rG ;"' Permit No. 41 3 0 u � rJ U, o u CT � �y N u m o 0 .s o Fee S 7.00 gp�ITichtioN het UPRUTMOCity of Cupertino for a permit to install gas appliances as listed on the reverse side hereof, and agrees to install said appliances in accordance with the provisions of the Plumbing Code of the City of Cupertino, and all other laws applicable thereto. Use of Premises Pie Shop Owner Original House of Pies By Jay —Dee Mfg. Svh— Contractor, Agent Phone 213-321-0320 State License 167579 C43 & SC20 Address 1550 W. 132nd St. Garden Calif. 90249 Approved umbing Inspector APPLIANCE - - 'UNITS FEES as lop Gas Oven Wall Furnace - - •Gravity Fum:. - - Forced Air Furn. - Gas.Fired Boilers - ,Warming Ovens .. .__.. -- -..... 'Smp:-Units- Dwelling Kit./Bath 1'nde end. Vent _System - Com., Indust., Inst.Kit. Hood.&,Vent System Aizw- .Forcetl.AirUnder 4000CFM - - Forced Air Over 4000 CFM :Ind. Ventilation System - - (without Forced Air. Mech. each Power Gravity System _ - - �No° of A"v'Outlets; 1�0. of Flues ' .Stacks for Metal -Firelaces Smoke Stacks, Misc. Equip. Under 15'High -Comfort Cooling Comp�oE320�HPgor - - "8cabsowlits vithiinput , s of.500_ � OWIBrT�L' br le"ss- Cyom . over_ 26190 &Under 50141- :-&Absorp.:units:wi[h input of 500;001 & Under 1.,000,000 Fee' 2 :0'0 Total Total Fee y� %/L , N✓� 'LOT NOI ' 07I �. NO .• STREET 1 CITY OF CUPERTINO „ .. VAL. o' C"FERTI LAPPLICATION FOkBUILDING PERMIT` cgPL ,FEE XPW a KIgZ - 19I. Building Per.No. m u- Sdnita y Per No: O < Application is hereby,mdde foe a. permit to /N.f AtUA L ' 'a story, Type A,10alb FC.VGG Structure „0 to be occupied only as - in accordance with I' - a 'Z N Plans,Specifications and Plot -Plan filed herewith.. - ,;, _ Estimated Value of Improvements, $, 10 6 gLL. .. r .,.,� ..'PICkFee$-.. O O It is hereby agreed that the requirements go'f' the vt _' Cupertino Building and Zoning Ordinances :and' all 11,' Fee $ Lf r p a other lows applicable to the construction, location, and TotalFee $ "`z use of buildings within the City.of Cupertino will be . Oz complied with. 3� '..I Le-`G _ OWNER PM M ADDRESS' w w �� yTR. R O AG DR SS 7a / f r — v PH---� c TATE LICEN ` .' .BUILDING INSPECTOR L/e�'l jaDS.�" I M�cc.r-_rz A y a LOT NO NO. STREET W z APPLICATION FOR BUILDING PERMIT f o CITY OF CUPFRTINO o< Sanitary No. 34 3u ® 19�� Permit No. =o I: e� '4 Application is hereby ma a or a permit to F 2 oQ i in F— !L- _ Building eE to be occupied only as_�Cp rti c Nec 2 c o F Ac r .cnrr ejp Accordance with 0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee >b °� > ; Estimated Value of Improvements, $ �� 7 O Oil Fee $ i J 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 J o Cupertino will be complied with. mOwnerQltr<In)� t, %{a+rR of P!F•C Address&?00 CLQP9017e Lo.r'4pC'r4zl r W a By UC.t G• 0 Phone(-114 1 SEG -2 , �� Approved ` State License �J ` A & 1 BUILDING INSPP.CTOR N Q =z F a Y n Q LL O J 3a W w I O w w o� a r N Z a w W I r � a go > N 03 2J J Z J 0 3a W Z W W I is F <u oT NO. STREET APPLICATION FOR BUILDING PERMIT ITY OF CUPERTINO Sanitary No. �� I Uar ((�� Permit No. In �'S �4a1 is h rQ� lgde or a permit to a 1VI story,Typ_e. -�SJ� Building tobeo � cldYastvl — Plans,S�s'eYi cations and Plot -Plan filed herewith. c+ Estimated Value of Improvements, $ 9 accordance with P1 Ck Fee Fee $ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and ,.ail other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with, Owner doySLoG'/s/,-S Address/6-4 o2 By VTs,£i-% sCG�/ �rA' Phone 337L V S (, Approve State License =ST iNc "sRecroa 6SsI -Azat' OT NO. STREET APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO % S:mitary No. 196 9 Permit No. �p Application is hereby made for a permit to 'e a,x e2� �, e_ sr a dxa story, Type .J q F oC_. / Building to be occupied only ash 1-ee.a in accordant with Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee j 7. Of Estimated Value of Improvements, g/O FeeS cPAa2, j—b It is hereby agreed that the requirements o thf a 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, QQ�, Owner c GnC�� 2 Address By >e !Q_ Address/O// aAt l�P Phones;0Z (o// I State License DA3 Approve B L G INSR .Cl'OR % o o s- s ??i,�e - , Cts... 0 w m a E 0 U No. Street CITY OF CUPERTINO WATER DEPT. 1111 26 1971 Lot No. APPLICATION FOR PLUMBING PERMIT CITY OF CUPERTINO Date I IA I D Sanitary No. Permit No. 5,,,-x Fee ff s� Application is hereby made to the City of Cupertino for a permit to install plumbing 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 Cupertino, and all other laws applicable thereto. T Use of Owner 61-m Se e- - By Contract/or,rAge Phone i State Licenser N Ly Gys s� C-J� Address toc SS Address4lCo �twCoLLV Approve Plumbing Inspector y' FIXTURES NUMBER MAIN DRAIN Units Fees Units Fees Water Heater Size Water Closet Material Bath Tub To Curb Shower To Pron. Line Lavatories To Existing Kitchen Sink Not Conn Dish Washer Waste Disposal Wash Tray STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb.Smk & Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Hopper Size Restaurant Sink Material Sand. Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler System Water Sys. Fee Refief Valve I) GIs Fee S� Vac Breaker Skimmer Filter Permit Fee Total Total Fee 3