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51145 9B e'�Y OT NO. NO. ST w ¢ FOR BUILDING PERMIT r o ® OF CUPERTINO ,MAR 1966 Sanit,ry No. '1472 / 5 = a Date pDTT16pp��,//��196�. Permit No. 4 r C111 Of ispermit to 6��dr— oa v Z N a story,Type '5�4/ 6 ' Building ,w. to be occupied only asself_ i��•I7/Gy �i�lll�?'/ in accordance with 00 plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee > ; Estimated Value of Improvements, $,z A5rl Fee'$ 60'W�— 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 c plied wi 3i _ m Ownaf-` C� �� ! //� Address /J Lt>A' z3� W a gy Addressf dx.Y 14�� of U phGn �,53'�7R�'� WILLIAM D. BENEVICH _ Approved State License BUILDING INSPECTOR % LOT NO. NO. STAEF.I' N XkA PLS CA OWN FOR PLUMBING PERMIT . < �'{Ty OP CUPEiRTINO r o AUG 24 1966 Sanitary No. D LL r r ° jUate 196— Permit No � � a = 4 CITY OF CUPERT�f Q Fee $ ° Application is hereby ma e the City of Cupertino for a permit to install plumbing `o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices iand/or fixtures in accordance with the provisions of the Plumbing Code of the City of a w Cupertino, andoti r laws applicable thereto. w x .. Use of Premises — - W r47?2 00 3 Owner 0tN2Y A. t;tk, L,NL. Address — 0 a zJ J z By Address Q CONTRACTOR, AGENT 3 r - Phone7- S'z - G0SU- w z a 0 \State License MB =u�r• APPro U��. ,PLUMBINGdNSPE OR 14 IXI URESNUMBER UNITS FEES UNITS FEES Water Heate Size Water Ouse's Material Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals Was-Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sink v Trays To Curb Dental Units Drinking Fountains Floor Drains WATER SYSTEM Hoppers Size I 7i Restaurant Sinks Material San Traps TOTAL FEES Urinals Fixture Fee C2 Area Drains Main Drain Fee ZVater Leaders Storm Drain Fee 5 r. "l'r Valu Water Sys. Fee _ Permit Fee 00 TOTAL TOTAL FEE ORD OF INSPECTION Underground Rough Partial Rough Rough. Complete Main Drain Final . Z I LOT NO. I Q ly NO. STRF.F.I' ) P IIIA N FOR PLUMBING PERMIT a .1 P CUPERTINO xg APR 22 sanitary No. o j Date 976 196— Permit No 3 3a Fee S = LL OF 0 Application is he City of Cupertino for a permit to install plumbing - o a pipes and/or fixtures listed on 'tb" everse 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 r. vs 3Q;.),Iicable thereto. w x a „ Useo Premises 00 3 Owner Address 0a ZJ � zB Address O CONTR TOR, AGENT / 3r K — 0 Phone el w Z a a o Stale License Z D Y d Approved —UU/ PLUMBING INSPECTOR I11X I URLS1 BER MAIN DRAIN UNITS FEES A UNITS FEES Water Heatc Size kL 41 Water Closets Material CT Bath Tubs To Curb Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. Dish Washers Sewer Boxes Waste Disposals W—Ash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Com . Sinks Trays To Curb Dental Units Drinking Fountains Moor Drains WATER SYSTEM Hoppers Size Restaurant Sinks Material I — Sand Traps TOTAL FEES�/� — Urinals Fixture Fee s Area Drains Main Drain Fee eater Leaders Storm Drain Fee �prinklrt Val�cs Water Sys. Fee L Permit Fee TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough Partial Rough Rough. Complete !,lain Drain Final 21 N t W Z NO, STREET LOT NO. ► `8 TION FOR GAS PERMIT ® Ix, Nh F CUPERTINO Date '11 t ^PR 9 Permit No. J Fee $ fit] �s h made to the City of Cupertino for a permit to install gas pipes and /qyy apiv nches U {��p�tjtq reverse side hereof, and agrees to install said pipes and/or appliances in ac 1ef c�(�Ild the provisions of the Plumbing Code of the City of Cupertino, and al er aws licable thereto. Use of Premises Owner CONTRACTOR,AGENT Ph" i q q`% S c/ ( State License—A—)-/ 0 y Approve / PLUMRINE. INSPE&OR t/ of Appliance I Units Fees ng (NAME. TYP HOUSE GAS PIPING Number of Outlets CA I Size of Main Gas Piping Fees 44%f 1 Tested and Approved .----.............. ......... ........ .....__..._...._.......... .. DATE INSPECTOR