100172"IG 5 �v
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Y�APPLICR
ATIOIN FOR BUILDING PERMIT
/
P CITY OF CUPERTINO � 1 9 �� �/ Sanitary No. .h 7� z -
Date . 196i Permit No. /0C
-,,TApplic�a6onPrlle eby maldel(or a permit to t -rs K f" k A a T
a ti V e story, Type ...5 .Z Building
to be occupied only as a_�� _ in accordance with
Plans, Specifications and Plot-& filed herewith. P1 Ck Fee
Estimated Value of Improvements, 53 ..0 Q Fee $ iSag
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appliotble to the construction, location, and use of buildings within the City of -
Cupertino wilbyb2/c/omplied;with. / q
Owner / 1.L:,, -s.,. �, T -.r- Address Z 2"9 S�ruy (F-ie%R1f
9.»
?1a
Phone-Lf2 - 67 9 7
State License
Address
Approved
BUILDING INSPECTOR _ /
lenl y / wn V,- t4 Q� o
NO. STREET
D 4
,PLICATION FOR
z
CITY OF
N�
Y J
o< Date k:?— � 196
3
PLUMBING PERMIT
CUPERTINO
.Sanitary N0.
Permit No 166i / 7-,2,
u'
W W Fee S oZS• O O
O Application is hereby made to the City of Cupertino for a permit to install plumbing
opipes and/or fixtures listed on the reverse side hereof, and agrees to install said rices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other la applicable thereto.
W z
w Use of Premises
00
> N
, 3 Owner
ZJ
J z By [?
CONTRACTOR, AGENT
3»6733
W z
07 State Licensees` -j0 6
Address–��T 49 7
Address 1%I/ {% ' �rLjN
ApprovedWILLIHIVI U. bnNEViclK,
x
PLUMBING INSPECTOR �
I UNITS I FEES II 1UNITSI FEES
Watcr Heate
C�
V. Ivcs
Boxes
RECORD OF INSPECTION
Main Drain
Final...