51196�e'r I dL 'y C/ �/1 J,' LOT NO. G
1 NO. STREET
` A' PPLICATIO'N�FOR BUILDING PERMIT
Z– r
s 0 1' L-`--' �) 1 xl t
;< ° CI OF CUPF.RTINO
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0:5 hA
AR 2 R 1968 U Sanitary No.
i `Date — 196 Permit No. iw 6
o
0 App�i�atio'n�liIss her by[m`d; fdr+jG rmit to 1ZECT
o<
iV) a /*iyz story, Type G Building
to be occupied only as '_5'/n,t:2[E in accordance with
o`o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee 14
Estimated Value of Improvements, E ° a mo Fees S4
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location• and use of buildings within the City of
J 0 Cupertino will be mmph with.
3 N Owner X lY• �(/- 19Rtrzrs Address �.
W a By 7FT1lJVf! TA$'�LL�7 Address x t
` 0 Phone
/. Approved '
State License �BUILDING INSPECTOR /
LOT NO.
NO. _ STREET
etAPR
CARPLICA`TIOMFOR PLUMBING PERMIT
I GiITY'OF CUPERTINO
E1 ISM sanitary No.
0
0 Date " 19ffT'//6 Permit No
a
i LL
Pee $
- r \'+•1't'l-.t t .. l
O Application is hereby made to the City of Cupertino for a permit to install plumbing
`o pipes and/or fixtures listed on the 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
a w Cupertino, and all o er laws applicable thereto.
wx
u. Use of Premises O
00
3 Owner—::&7--" Address
,By Address
O CONTRACTOR, AGENT
a Phone
—w
w z
a °
< d S % `/ � ApprovedWILL1AM D. DENEVICH
_ o State License a /
U PLUMBING INSPECTOR V
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Heater
I
Size 41'
Water Closet
Material 6.1
Bath Tub
%
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen ink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To blain Drain
Comb.Sink & Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size `I
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
blain Drain Fee S----rj
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee .fz
Relief Valve
I Gas Fee S"a
Vac Breaker
Skimmer
Filter
Permit Fee
Total
VIbtal
Fee a