51145 S� .z/E3/ I &�% 4 &� ' LOT NO. �Z
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W ® T FOR BUILDING PERMIT
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° OF CUPERTINO i
o < 'MAR 8 66 Sanitary No. --/ .71
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= LL Date 196Permit No. —5-11
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o VAINica 1 t isGWYERTWpermit to
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u be occupied only as f//r/LE �1�/Ly O��LG// in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
F "; Estimated Value of Improvements, S /.YXJ Fee S
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
j O Cupertino will be complied with
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a Phone /�/� ApprovedWILL1AM D. OENEVICH
I� State License/��"`;� BUILDINGINSRBQOR L'
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NO, OOFSTREET
APPLICATION FOR GAS PERMIT
PZ �� CITY OF CUPERTINO
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196_ Permit No. X/A/J�
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I 22 1966 Fee•S /.Lv
0 Application is hereby made to the City of Cupertino for a permit to install gas pipes
o ITNd/,gr�gasApPP as listed on the reverse side hereof, and agrees to install said pipes
> a d rep l e E T#?'� nce with the provisions of the Plumbing Code of the City
< W of Cupertino, and al other aws ap licable thereto.
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UPLU\1BINC INSPECTOR
Remarks (Check ✓)
Type of Appliance Units Fees New Replace Relocate
Gas Ranges
Wall Heaters
Gas Plates
Circulating Heaters
Blower Furnaces
Gas Fired Boilers
Warming Ovens
Percolators
Griddles
Steam Tables
Gravity Furnaces
Suspended Unit _
Floor Furnace
Miscellaneous
(NAME TYPE)
HOUSE GAS PIPING
Number of Outlets Size of Main
Gas Piping Fees
Tested and Approved ..-------....._.............. ...............__.....................
DATE INSPECTOR
F.F.t' LOT NO.
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;2LIZfI^N FOR PLUMBING PERMIT
z < OF CUPERTINO
x 0 /APR sanitary No.
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o Date 22 1966 196— Permit No
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w 4 QITS OF H' Fee $
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LL w Npph ati is o �.{}'�r�1Tjt,A�jpe City of Cupertino for a permit to install plumbing
o a pipes and/or fixtures listed on th reverse side hereof, and agrees to install said prices
i m and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws ap1pi,icible thereto
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j 4 Use of P emises
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CONTAAC R, AGMT
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u f State License Approved
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U PLUMBING INSPECTOR
N.
UNITS FEES UNITS1 FEES
Water Heate Size
Water Closets Material C.Z
bath Tubs 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
Com . Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size
Restaurant Sinks I Material (.
San Traps TOTAL FEES
Urinals Fixture Fee
rea Drains Main Drain Fee =YO
��/ater Leaders Storm Drain Fee
Sprinkler Valves Water Sys. Fee
Permit Fee
TOTAL TOTAL FEE sD
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Slain Drain
Final