51161N Q
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r NO.
NO. STREET
AP'in CAT m
N FOR BUILDING PER IT
MY
UPF.RTINO
Satarr No.
U:ne V t P mit M. S—//(,/
Application is heh',,�%fCmitde to
a�gor) Mog
— ~ Building
to be occupied only as h
Plans, Specifications and fot-Plan filed herewttds._ PI Ck Fee—�-�--
�V V
Estimated Value of Improvements, $ O 0
' 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 b complied
L�
Owne
By �7 p
Phone d�sa—�73A
State
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�.0 3 9 4 I 4" /'LC-, . � LOT
NO. STREET
_ APPLICATION
• `': �� .� `�"a - -_CITY
"'.h' �'� e•.._:.;-,._..��� - ..lid ,,���''�`�
FOR PLUMBING PERMIT ; 7:3 52-
OF CUPERTINO
Sanitary No.
196--Z Permit No.
Fee $ 9a
Ap'plica_tion is. ' q eby6.made 9to the City of Cupertino for a permit to install plumbing
pipes land/., r fix�uress�'Q,isT4longthe 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.
Use of Premises "C'
OwnerILL (X�� Cn • Address
B / y 4 . / .�� - r-X l� CON�R, AGEN
Phone `Z36— 4� --?S
State License
Address Ixf, 2�' 4
Appreoved
PLU ING INSPECTOR
FIXTURES
NUM
E-R
MAINI
UNITS
FEES
UNITS1
FEES
Water Heate,
Size "
Water Closets
-S
Material
Bath Tubs
To Curb
Showers
To Prop. Line
Lavatories
3
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
Curb
Dental Units
++
Drinking Fountains
Floor Drains
WATER .SYSTEM
Size
Hoppers
Restaurant Sinks
Material
Sand Traps
TOTAL FEE.
Urinals
Fixture Fee
Area Drains
Main Drain Fee
),So
Water Leaders
' ,
Sprinkler Valves
Water Sys. Fee
40
Permit Fee
, pd
TOTAL
4211
TOTAL FEE
RECORD OF INSPECTION Sr
Underground Rough...
Partial Rough__
Rough: Complete..
Main Drain
Final_..
lD__.`Z �� IQi✓t(/YW if — LOT NO. 117
NO. STREET
APPLICATION FOI
CITY OF
(J
PLUMBING PERMIT A` 73s�-
CUPERTINO
Sanitary No
Dat'.e f'j�-P.� v % _N 1J1,I'1196Z Permit No.
1 f-L.b j ry ,-�; '/ �� ��
- Fee $ 3(2— S a
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/o'r,f,xtutes�listed `oiiithe' reverse side hereof, and agrees to install said prices
and%or fixtures iri" a�ctordAct with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
Owner.z..
By L%" o , '2"
CONTRA TOR, AGENT
Phone 73 b.
State License, �-�-�—
yU
Address /Flf
Approved J' L-�
PLUMBING INSPECTOR
FIXTURES—
NUMBER
I I
UNITS
FEES
UNITS
FEES
Water Heate
y
0
Size Ll 11
f
Water Closets
Material (+� i
Bath Tubs
y
To Curb
Showers
,To Prop. Line
Lavatories
To Existing
Kitchen Sinks
Not Conn.
Dish Washers
Sewer Boxes
Waste Disposals
Wash Trays
STORM DRAINAGE
Washing Machines
Size
Water Softeners
Material
Bar Sinks
To Main Drain
Comb. Sink & Trays
T-e—C—nrb
Dental Units
�� K
Drinking Fountains
Floor Drains
WATER SYSTEM
Size
Hoppers
Restaurant Sinks
Material
Sand Traps
TAL FEE
Urinals
Fixture Fee i,S,:,,
= o
Area Drains
Main Drain Fee
.o
Water Leaders
Storm--3rai
Sprinkler Valves
Water Sys. Fee
Permit Fee
TOTAL
TOTAL FEE
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough: Complete_.
Blain Drain
Final...