51187I( I �2�I LOT NO.
NO. STREET
® P II FOR PLUMBING PERMIT
1 OP CUPPRTINO
!�1MAY 2] 1968 it sanitary No.
Date 7�/ n (�M�ay[15 , 1()68--PermitNo
Apph a ion is he n h 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
Dwelling
Owner Ditz Crane Company
B Palm Plumbing Company
y CONTRACTOR,AGENT
Phone 245-2323
State License 186579
AdiEsS De La Cruz Boulevard
AdW Sunnyvale -Saratoga Rd,
ApprovedWILLIAM D. e7-nEVICH
PLUMBING INSPECTORV/
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNF'r5 FFEES
Water Heater
Size
Water Closet
.2
Material
Bath Tub
To Curb
Shower
To Pro . Line
Lavatories
Z
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 & 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
S rinkler Valve
Water Sys. Fee
Relief Valve
I Gas Fee ,S-9
Vac Breaker
Skimmer
Filter
Permit Fee 1C�
Total
f
'notal Fee eZ:�sd
/'z I � � i LOT NO.
�/ NO. STREET
W Z FOR BUILDING PERMIT
Y ° OF CUPERTINO Q
LL Sanitary No. S�
5� AYp 1968
W o U:Ite 196 ermit No.
r
U. a i�Iica I a is flW() per
to
z U) a �_ story, Type Building
aW
to be occupied only as �n(i6L+M—L�1 in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. V P1 Ck Fee �—
F3 Estimated Value of Improvements, $ '4epL9 00 7 . Fee $ % 2y
i 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
_j o Cupertino wil be complied it�
3a
_ y Owner Address p/
� Wa By Addres
a U Phone�v�« pp A roved WILLIA11 i D. SENEVICH
JSl �9/
State License BUILDING INSPECTOR /
G7
I.OT NO. / (�
NO. STREET
Y_
rLTI�,b FOR BUILDING PERMIT1,OF CUPERo TINO
' SG
o _j Sanitary No.
s¢
U 2
= a Date _ , 1ji C 4 r1-1P96 Permit NO.
'o
o W +Application is hgftTINQ�-
de for a permit toato a ���fsto-L • Q. Building
ato be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. 1 ek Fee
,, 3 Estimated Value of Improvements, $ r=O®O•Fee
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 w' e complied with.
3 N Owner d� �h car P Address E�'� 9��A
it a By �-� Address .�-` ���f ...
a' Phone - .S .S 'WILLIAM D. BENEVICH
Approved
State License 14-1 BUILDING INSPECTOR
jJ\ ��