51167.2LOT NO._12?� l `I
NO. STREET/ps'
%fir LLGA71 N�``FOR BUILDING PERMIT
v C ! OF CUPERTINO �
3, ! �� 2 7 1988 Sanitary No. `��
%
Date �� 196, Permit No.
Application . here6 mA _ e , or, . ermit to
a — cz�?— story, Type 1E •- — -S— Building
to be occupied only as S- / r. in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ Q, 0Q0 Fee $.S"�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
- m Owner
Z ByLi
t U Phone c5�_/ _ ZZ/0
l_, State Licensee / �/-/
Address DMURA E
Address _Ss1e T46 C w R .
CRUZ BLVD.
eatip
SA
ApprovedNlLLIAM D. FBENEVIC14
BUILDING INSPECTOR
I
'C /
a
NO. STREET
?MAY
_ _I N�FOR PLUMBING PERMIT
I1OP CUPCRTINO1L11r Y ��68 Sanitary No.
r
Date 19G'g Permit No
��� Cr ���n��T�rfl Pee$ a 6.57
A I c tion is herd y t t City of 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.
DuTelIing
Use of Premises
Ditz Crane Company Z�d9� De La Cruz Boulevard
By Palm Plumbing Company Ald hsSuraWvale-Saratoga Rd.
CONTRACTOR, AGENT
Phone 2115-2323
State License. 186579
WILLIAM ^ na NEVICH
K PLUMBING INSPECTOR \ /
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES I UN S FEES
Water Heater
I Size
Water Closet
Material
Bath Tub
To Curb
Shower
/ To Prop. Line
Lavatories
To Existing
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 & Tra -
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee G LV
Area Drain
Main Drain Fee C-ev
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee /6-V
Relief Valve
Gas Fee
Vac Breaker
Skimmer
Filter
Permit Fee
Total
Total ee
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