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pi fC�i4aT.�®N 'OR BUILDING PERMIT
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or� Sanitary No. a'Z �' •7 Q
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= LL o Date _ 196 Permit No'�.
o F ApplScat on •s here y_arladello a }�eWnit to
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F- to be occupied only in C I
J o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Pee
- 3 Estimated Value of Improvements, $ ✓ Fee $ -4:V 7�
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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
Cupertinowll a complie
Owner �_`G�d�� Address_ a
By Y
Phone Approv
State License BUILDING INSPECTOR
NO. STREET
APPL4QXTIONskFO,R PLUMBING PERMI
� Nc?I-,T.Y P CUPERTINO
Date KIIN 11 1968196 i ` Sanitary o. .� /, z
Pee $
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Application'is herebymadettq t e� ty,dtlCupertino for a permit to install plumbing
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
Cupertino, and all other laws applicable thereto.
Use of Premises
Phone—
v Y7 -L
State License Z1 �l 7J�
Address��r ✓`
Addre,,,moo 3-
Approved
((((((////// _____
PLUMBING INSPECTOR
FIXTURES I NUiMBER —MAIN DRAIN
UNITS I FEES 11 nNTTs
Closet
To
Kitchen 5ink
Dish Washer
Waste Dispo
STORM
Comb.Sink & Tray I 1 11 To Curb
Drinking Fountain��
Floor Drain �i WATER SYSTEM
Main Drain Fee
Water
Relief
Vac Bi
J✓ Permit Fee
Total j 3 ti 5 p(� Total Fee
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907 �Trc2 ni5 aY e `S�� LOT NO.
NO. SnEE.T +�,
N ® P l�i� T� , F�blt PLUMBING PERMIT
a CI UPF.RTINO
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0 !JUIN 6 J
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0 a Datey e 196v Permit No, -3 ]—
U Pee S 1d
o �''TY OF C�lPETI�!� S—a
Applicati�in is hereby ma e to t Ie dy 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
iand/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
a ~ Use of Premises
0 0
O 0 Sr
r 3 Owner / 's
Address
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o By 2:C-?,G/CK �i�e3/ �.[p• Address
3 ¢ COqNTRACTOR, AGENT
Phone �/ y 7
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Wa
ao Sta[e License ZOL.S�/a ApprovedWILLIAM D.
j �I PLUMBING INSPECTOR
I UNITS I FEES II 1UNITSI FEES
Boxes
Icr Valves
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final .