51126 qIO a f.�r
LOT NO: 2
NO. EET
` APPLICATION FOR BUILDING PERMIT
zZ
W
' 0 CITY OF,CUPERTINO
a - .
o a Sanitary No.
U
W aTInUe
W Date 196 Perm' No.
o W Appication is hereby made for Ypermit t
a
i m aie story, A69. Hui 'ng
< W
to be occupied only as
00 in accordance with Plans, Specifications nd Plot-Pled herewi
Estimated Value of Improvements,$_ aen Fet$ 9�
i-I It is hereby agreed that the requirements of the Cupertino Building{ and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J O Cupertino will be complied with.
3i
N Owne AddresWzs
W a By Address
07
<u° °^ — Approved ids-11101
State Licens a DING INSPECT a
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATF. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPP.C.TOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
IOLOT NO. L V
NO. STREET
n APPLICATION FOR APPLIANCE PERMIT
Z CITY OF CUPEATINO
F
0
o20
i Date 196'*/ Permit No. //
4 Fee$ •
, 0 Application is hereby made to the C ertino a e t to
o a install gas appliances as listed on the s h o
'z U) install said appliances in accordance p visi o e
Code of the_ of Cu i a a of r laws a licable th t
Y i PP
LL
Use of Prem'
00 77
Owner' �v Address /pc
=Z By 44.u_fa' Address Sy C �N
�'O C RACIOA,AGENT
3 0 P
Y Z
0 s State LicenseZ'4• /�' 3 Approve
,*"06
U PLUMBING INSPECTOR C
Remarks (Check ✓,
Type of-Appliance Units Fees New, j Replan j Rebate
Gas Ranges
\wall Heaters
G
as Plates
Circulating Haters j 00
Blower Furnaces j�
Gas Fired Boilers
Wanting (hens j jj j j
Percolators
Griddles j j jj j I
Steam Tables
Gravity Furnaces j j jj j j
Suspended Unit j j if j
Floor Fumace j
j
Miscellaneous j j ij j
((NAME TYP j j jj j
j
I I I I
Pp Bance ees
Inspected and Approved ............ .....:...............................................
DATE WSPECTDA
LOT NO. O
NO. - STREET
APPLICATION FOR PLUMBING PERMIT
`a i CITY OF CUPERTINO
W Z
x .0 San' a No. �y
0 < Date 196— %~vmit No J L
W n Fee$ 1� WON
' 0 Application is hereby made to the City of Cupertino for a permit to install plumbing
0 < pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i N and/or fixtures in accordance with the provisions of the Plumbing Code of the of
< W Cupertino, and all other laws applicable Cher to.
W 2
0110
� r
W Use of Premises
00
r3 Owner ddress
iJ
o By Address S ��
h ON RAcrOR,AGENT
— 0 on
W Z
WW
a o State License 0047) —073 Approv
-U PLUMBING INSPECTOR
FIXTURES NU BER MAIN DRAIN
UNITS FEES UNrrS FEES
'Water Heate Size
ater C osets Material
Bath Tubs To Curb
Showers To Prop. Line
Lavatories To Existing
Kitchen Sinks Not Conn.
Dish Washers Sewer Boxes
Waste-Disposals
as"h Trays STORM DRAINAGE
Washing Machines Size
Water Softeners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Dn ng Fountains
Floor Drains WATER.SYSTEM
oppe�— Size
Restaurant Sinks Material
San raps TOTAL FEES
rings Fixture Fee'
rea rains ,� Main Drain Fee
Water-Leaders Storm Drain Fee ww
Sprinkler Valves Water Sys. Fee Q Y
Permit Fee
TOTAL TOTAL FEE 0
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough. Complete..
Main Drain
Final._.