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51089.1I h4t2i��� #4Qr 0 t.or No. 'NO. STREET N "; W z AP L`I N``F®IRt ,1U1LDING PERMIT 0 TY F CUP L N s u [VIA 9O �� Sanitary' No. W U.Date d �, 196-% " ` Permit No. X® 0 it S lee O LL W Application is hereby made for a'y7e'drm t G©saz�kVWC `�' o u c- r Q L..�.f Iy p aN a story, Type �� ��ti�-�.� �i©©``— Building W to be occupied only as�����1Q'�.��cy4A__�s�w� in accordance with 0 U. Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee CDO F3 Estimated Value of Improvements, $ Fee S aRAt..0 tl 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 be Tm9ie v't 3 ~ Owner C Address \ Amkemkl+c S:krt"V- e� Q W w BY a °'�ddress "kl O �FFetrt cacti �rk� Phone1—'—�l a U Approved State License ��C�3 � WILL..I. s tL N 15� c oa :0I 21230 I West Homestead Rd . LOT NO.Bldg. #1 NO. STREET PCU. OR PLUMBING PERMIT 4 [�CUPERTINO s Sanitary No. r o fm� 31 1968 y o Date 5-24_ 8 96_ Permit No c 1'6 3� i LL CITY Prn (o r Pee $ ° Application is hcreby(,`�5'dct-td fh�n_ iy of Cupertino for a permit to install plumbing o pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices > r and/or fixtures in accordance with the provisions of the Plumbing Code of the City of mCupertino, and all other laws applicable thereto. wx LL Use of Premises apartments ° O 801 American St. > 3 Owner Herman Chri_Gtanaan Address San Carine z� 2301 Palm Ave. J , By J. W. McClenahan Co. Address San Matpn . Cal f_ ° CONTRACTOR, AGENT 3 Phone 345-1691 "' WILLIAM D. BENEVICH a a o State License. l 3 3 l58 Approved PLUMBING INSPECTOR / rl I V J FIXTURES NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heater I Size `!" I ,>:oo Water Closet a ,00 Material .�41 Bath Tub 11.00 To Curb ShowerTo Prop. Line ✓ Lavatories 8 .0 ) To Existing Kitchen Sink 960M Not Conn. Dish Washer Q 0 Sewer Box Waste Disposal Wash TraySTORM DRAINAGE Washi Mace Water Softener Material Bar Sink To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain Floor Drain WA'T'ER SYSTEM Hopper Size l I$L Restaurant Sink Material IOUZ Sand Trap 'TO'T'AL FEE --a Urinal Fixture Fee Area Drain Main Drain Fee 5.0 0 Water Leader Storm Drain Fee Sprinkler Valve Water Sys.Fee ,5-6 Relief Valve Gas Fee t 1.5-0 Vac Breaker Skimmer Filter ,s'a Permit Fee .00 Total 1-44R) 11 Total Fee.i;. ,t7^ ;ri0