510392-1'733 1 LOT
NO. STREET
APPLICATION O
OF
Dat J�19 96-7
0
R PLUMBING PERMIT
CUPERTINO
Sanitary No.
Permit No
Fee $
A I lication is hereb , made to the City of Cupertino for a permit to install plumbing
pi n�/oOictu�l�dirTr>I�reverse side hereof, and agrees to install said rices
an /or fixtures m actor 'nr� wti the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of Premises
BygH / t✓
�CONTRACTOR, AGENT/
Phone g7e26
State License e 9 ??.Z/
FM$snktNot
MAIN DRAIN
To Curb
UNITSIFEES
Weter
ze
Water
aterial
Bath
o Curb
Showeo
Pro .Line
Lavat'o
Existin
Kitcheot
Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Troy
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Comb.Sink&Tray
To Curb
Dental Unit
Drinkin Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water S s. Fee /
RElief Valve
/ _
Gas Fee
Vac Breaker
Skimmer
f°
Filter
Permit Fee
Total Total Fee O 6
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y 0
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3,3 6410 n -D Q u
No. STREET
,o A.PPILIICAT`ON
�ICITY
✓die/elr
VOT
FOR BUILDING PERMIT
OF CUPERTINO 7[ / �S
Sanitar. No. O
Uutt 'JAN- 11 196 196— Permit No.
Applicationte�riljk@a�S�Qr a permit to
aciT% �F ry, ype IVVuu Building
to be occupied only as - in accordance with
Plans, Specifications and PPlan filed herewith. P1 Ck Fee 47 75
Estimated Value of Improvements, $ 3e2l OO O'M Fee $ 75 '�_ct
It is hereby agreed that the requirements
all other laws applicable to the constructs
Cupertino will be complied with.
Owner ".7//F$'
By x
Phon X —
State License
of the Cupertino Building and Zoning Ordinances and
on, location, and use of buildings within the City of
Address N' z VO_p �LC�rvc�<Ss2r
/
a00
ld
0
LOT NO./Q?
STR
N FOR GAS PERMIT
D
�J N 31 1966 OF CUPERTINO
/
Dat 31. 1922- Permit No. `�/O `3
tfl� OF ERTINO Fee.$ is°
Application is hereby made to the City of Cupertino for a permit to install gas pipes
and/or gas appliances as listed on the reverse side hereof, and agrees to install said pipes
and/or appliances in accordance with the provisions of the Plumbing Code of the City
of Cupertino, and all other laws applicable thereto.
Use of Premises OAIE EdH1LJL- , bWE141AIC.
Owner D u C IL ELL 10 1
By r= K a.) Pl- a 6.
CONTRACTOR, AGENT
Phone. -"'
State License lz 6610;)
Address NOR N CUIn/C//t3Y�t°
Address 0 00 C PIS �-IC y ZA4
Approved
PLUM INC INSPECTOR V/
of Appliance I Units Fees
Heaters
F. TYPE
HOUSE GAS PIPING
Number of Outlets I I Size of Main
Gas Piping Fees I 1.1
Testedand Approved ................ .._._...:---------..................................
DATE INSPECTOR
(
LOT NO. I )
AN i l %V6'6 --WY
FOR PLUMBING PERMIT
.71 'Y OP CUPERTINO
P111111TSUMPI F it 17 Ma
Sanitary No.
Permit No,
Fee 5 `�
for a permit to install plumbing
and agrees to install said prices
Plumbing Code of the City of
Application is hereby made to the City of Cupertino
pipes and/or fixtures listed on the reverse side hereof,
and/or fixtures in accordance with the provisions of th e
Cupertino, and all other laws applicable thereto.
Use of (�P�remiises (tom
Owner—
By f lel P�um�
r7CONTRACT^OR, GENT
Phone sRI7 I-ZIO(DU
State License 1 621060 Z Approved
L PLUMBING INSPECTOR
V
FEES
aste
ater
Heat,
rains
nklcr Vo
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final