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W ��►PPLICATI®N'PloIt BUILDING PERMIT
Y 0 I M AY u 7 1��ITY OF `CUPERTINO
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a Sanitary No.
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W a Date 1°960 Permit No. _ // Co
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au) a 12�— story, Type . -�_ �� Building
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to be occupied only as- S. P.- r. in accordance with
Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $ a Lf6�670 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 be complied with.
By -9,
Phone C-2
State License
Address oaz-CPANE
P 4 1+ of sift
Address ! A • •-
VAL.L IAM D. E3)~NEVICH
Approved
BUILDING INSPECTOR
LOT NO /tZ
.-�. NO. STREET
Z d I((j Ppb PLUMBING PERMIT
IbPERTINO
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0 �� i MAY 31 196$ Sanitary Nn.
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0' Date May 27, 1968 Permit No 4 7 L
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o Applica�on1 is hereby ma etto bite Cit} of Cupertino for a permit to install plumbing
`o 1- pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
>r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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Use of Premises Dwelling
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3 Owner Ditz Crane Company A�d95SDe La Cruz Boulveard
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Z Palm Plumbing Company -qAsSunnyvale-Saratoga Rd,
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J n y CONTRACTOR, AGENT
3 Phone 245-2323
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a 186579 WILLIAM n, RENEVICH
a (o} State License Approved
1 „� PLUMBING INSPECTOR /
FIXTURES NUMBER MAIN DRAIN
UNITS 1 FEES UNITS FEES
Water Heater Size
Water Closet Material
Bath Tub / To Curb
Shower / To Prom. Line
Lavatories
To Exiting
Kitchen Sink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink&Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
I Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee -7,
Vac Breaker
Skimmer
Filter
Permit Fee oZ
Total //
Total Fee o? J