51167.2LOT NO.
NO.—
r �►PPLIC�►il®I� !.FOR BUILDING PERMIT
t
jv� AY 2 i 19� cITY �OF CUPERTINO
Sanitary No.
Date t -: `6 Permit No. `�/� 7 �
Application is hereby made for a permit to 4F �-
a story, Type <�— Building
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ 6.2aa Fee $ 470
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. D "NE
Owner Address it nee t a r-ou •sM
By /7�4DeiP�� Address SAWA CURA, V. M. §50!1
Phone %S��— Approved W ILIJAM D. BENEVICH
State License / v/, �/ BUILDING INSPECTOR ' /
ON
LOT NO.
NO. PLICA�tO OR PL WING PERMIT
® .1 ,OF CUPERTINO
�IMAY 31 1968 �' sanitary No.
Dare May 272 1968 Permit No
1
CM C7 CURER !�. Fees :2
Application is hereby made to the 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.
Use of Premises Drwelling
Owner Ditz Crane Company
By Palm Plumbing Company
CONTRACTOR, AGENT
Phone 245-2323
State License 186579
X9d95 De La Cruz Boulevard
ess
A NhsSunnyvale-Saratoga Rd.
WILLIAM D. SENEVICH
D\ PLUMBING INSPECTOR V
FIXTURES
NUMBER
MAIN DRAIN
Storm Drain Fee
UNITS FEES
I UNITS FEES
Water Heater
11 Gas Fee I " %--V
I Size
Water Closet
Z-
Material a/
Beth Tub
I To Curb
Shower
To Prop. Line
Lavatories
To Existiniz
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
Drinkin Fountain
Floor Drain
WA'[ ER SYSTEM
Hopper
Size I I
TOTAL
Area Drain
Main Drain Fee U'—
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee i
Relief Valve
11 Gas Fee I " %--V
Permit Fee
Total Fee