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W Z G_ �PPLICTtAI'�,FR� ,'�UIL®ING PERMIT
U. j MAY 9 � �� O + CUPF.RTINO
o a 4 : Sanitary No.
W U. Date e 196 Per it No.
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0 F Application is hereby made fo�ra�permit..to
zz W a 11 story, Type I Q� Building
aW
aI to be occupied only as in accordance with
0 o plans, Specifications and Plot -Plan filed here Ith. P1 Ck Fee
F 3 Estimated Value of Improvements, $ a52 -- Fee $ . %7)
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
o Cupertino will- e complied with.
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— ,� Owner Address%S�2 6i,-,1',
W Z
w 0. B Address
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< U Phone � 99�//� APprovedWILL..lt-�M D. BCNF:VICkd
State Licenses b1T 27Z BUILDING INSPECTOR e /
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LOT NO.S—
Nn. �PPS�OOR33- PLUMBING PERMIT
CIT O �(„ PERTINO
Junetrfj U% 1" 2 1968 `� Sanitary No. � T
Date , 196— Permit No 'S—lle 7
CITY OF Pee $ - .$'1 J—v
Application is hereby ma e o t' I f Cupertino 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
Owner Ditz Crane Comnariv 7Tddfesie La Cruz Blvd.
By Palm Plumbing Co. WdV1§unnyvale-Saratoga Rd,
CONTRACTOR,AGENT
Phone 245-2323
State License. 186579
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PLUMBING INSPECTOR
_FIXTURES, NUMBER MAIN DRAIN
UNITS I FEES 11 UNITS I FEES
Material
Shower I / 11 To Prop. Line
Kitchen ink / Not Conn.
Dish Washer Sewer Box
Waste Disposal
Wash Tray 11 STORM DRAINAGE
Comb.Sink & Tray I 1 11 To Curb
Fountain
WATER
Size
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total Fee/���