51001.4y�5 22205 Via Camino Court t.or No. 106
l / NO. ST�RaE�Ej.,,
W Z ¢"�A �f L�TC`ATION R BUILDING PERMIT
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Y ° �� CITY F� C:UPERTINO �1=
0 a }w,, �11,gY 31 �9G�s 2 Sanitary No. ��
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= o Date— May 13 196_8 Permit No._ l ,SG
o a Appli;� ei` 6 llis hereby a�e� r� efi rl to Erect
aIn a One story, Type _ 5-1—J Building
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ato be occupied only as Single Family Dwelling in accordance with
ij o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
F3 Fstimated Value of Improvements, $ 27 , 000.00 Fee $ 83.00
z J 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
F o Cupertino will be complied with.
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— N Owner Oak KNoll Company Address 2383 Pruneridge, S.C.
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a By Address
a �_ Phone 241-8161 A roved WILLIAM D. BENEVICH
�\ State License 197558 pp / BUILDING INSPECTOR
J ✓ 0 J I U�� e-T LOT NO.Z&
NO. STREET
N AMPATION FOR PLUMBING PERMIT
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z FITY OF CUPERTINO
Ff
SSanitaryISO.
o alUL 3 1'71/Wig v , 196'Q Permit No
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w Fee $ 62/. J-0
0 r'j RYpli€ r"n 1HrM5�13dde0 the City of Cupertino for a permit to install plumbing
o pipes and/or tixtu'res�liMdtlon 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 other laws applicable thereto.
Use of Premises
00 ,(] /�tt
> m d)�. E/,ri.....�C�_ ""� .02Z 9 Address AOS y PIAF,'„
0 3 Own t—
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J z By tlt-a I/ Address No.— �L'L,✓
3 o CONTRACTOR, AGENT
- m Phone al �'d-o77
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State License a"3e 7 �f Approved
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— U `QLUMBING INSPECTOR
FIXTURES NUMBER MAIN DRAIN
UNITS I FEES UNITS FEES
Water Heater Z I Size _
Water Closet Material .�.
Bath Tub To Curb
Shower To Prop. Line
Lavatories To Existing _
Kitchen Sink Not Conn.
Dish Wash Sewer Box
Waste Dis sal
Wash Tray STORM DRAINAGE
Washing Machine Size
Water Softener Material
Bar Sink To Main Drain
Comb.Sink&Tmy To Curb
Dental Unit
Drinkin Fountain
Floor Drain WATER SYSTEM
Hopper Size
Restaurant Sink Material
Sand Trap TOTAL FEES
Urinal Fixture Fee fr.J
Area Drain Main Drain Fee ,00
Water Leader Storm Thain Fee
Sprinkler Valve Water Sys.Fee .J
Relief Valve Gas Fee —FTU—
Vac Breaker
Skimmer
Filter
Permit Fee
Total Total Fee o2J