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1810 ON H"C CO XT LOT N7. S NO:.- STREET •1 1 - APPLICATIOA R BUILDING PERMIT \J 4,Y OF CUPERTINO �a7o9/ Date elmn Permit No. 1011149 A I o4' herb I or it to P , .� JUL. J y tJDa�. \ a story,Type' T• Building at S K Liz 5 ©.v Diss LdfJ l � lobe occupied only at iN6Lf ��I"r/iCr ///WE'LL/ry Q� in accordance with Plans, Specifications.and Plot-Plan filed herewith. 7 Da i e u Estimated Value of Improvements,$ /Je ooa. Fee$ S- u 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 "'I Cupertino will be complied with. Owner �i ` C�/I,vE Address sS6 N_ Firsr S7' S,T By IILAirVE P/syoeyf r Address CONTRACTOR, AGENT PhoneSV TApproved BUILDING INSPECTOR I J o 0 0 0 0 0 0 Q U U U V U U V Q z 6 Q v Z i � W . . O cP4. $ o \� n � nd.;� ) n . . } i IN, \ ) \ � - : 41 \ II� _ f o 0 \ lR� \ EN\ I� z«» \\ V» . � . _ o�sr C m w z § E ( % ' ) & [ {\ 2 ] Ft 5� � . \ § ; a \ � « { / ! C:) ° \ / ( ) \ � on 9 \ � % no � ) $ E 0 7f § ) 2 , § ■ (ƒ\ 2 ƒ § \ � � ■ @0 ' \ K m � fL e // ■ FIXTURES NUMBER MAIN DRAIN'.-,- UNITS R IN "rUNITS FEES IUNITS I'FEES Water Heater I V SiZe .0c I / e7" Water Closets o2 �� Material d/ Bath Tubs To Curb Showers I To Prop. Line✓I Lavatories 11 To Existing Kitchen Sinks_ No Con a z Dish Washers_ �EVE�-Boxer! _Waste Disposals! % Wash Trays STORM DRAINAGE Washing Machines r Size Water Softeners Material ' Bar Sinks To Main Drain Comb. Sink s Trays! To Curb:. Dental Units Drinking Fountainsl 1 ;oil "mmi� Floor Drains WATERSYSTEIvf" Hoppers Size Restaurant Sinks Materialw"fi&. Sand Traps TOTAL FEES Urinals_l 1 11 Fixture Fee 9 mo Area Drains Main Drain Fete Water Leaders Storm Drain Fee Sprinkler Valves I II Water Sys. Fe -I Ou Permit Fee y,o0 TOTAL I q 111 TOTAL FEE R CORP O NS ECTION Partial Rough o2 Rough Co ete �� / Final ' ' w w P- � ❑ b0 O rm !- zq� OH 10.. . IQ r tz ro 3 z.• / o@: 0 o ))�� �� •���. � `Gig^. ii to License 12422 O UQ On CJ Z N EL EL E 7 9 v �,-8,;ON 0 v� o x x L7 m ° ciV r N o D C7 m m CD n •^' r'07 H d to o n QV N 'r-4 (D ° °� ?� n (D H 8 T co 0 w Itl a o , H z O H r m ^ o n O 9 !1 � •rt r 0 = W � o �. _ QT ly� � � �/� � \ : : : \ \ � \ j \ � \ \ � � \ { \ \ , � 04 0 0 \ \ \ \ \ \ \ \ � � � � \ � i t i / / ] \ 12 \ �[ � � \ ./ \ \ � � � � � � � � � \ 0 0 0 ) ) \ \ \ } ) tL, -0 15 '6 z zZ 0 0 0 4 0 l< > t. �� �\~ � \ \ iT \ m r, PIN Z ` SB , � \ \ : / / \ 2 i7l ; s � \ / In 10 . �a � / // ( . , � tz State _ ��J— . }f \ ] / ) 4 . ` \ ; { C « ■ . 4, p ( \§ $ � — § \ ] z � > } } % } � \ � * . o ® § - � - § _ } n ƒ 0 q c ) I E �§ bo . . /\/ i Remarks (Check V)- Type of Appliance I Units Fees II New I—Replace I Relocate Gas Ranges Wall Heaters Gas.Plates Circulating Heaters Blower Furnaces Gas Fired Boilers el." Warming Ovens I. Percolators ltJ Griddles Steam Tables Gravity Furnaces Suspended Unit II _ Floor Furnace 'Miscellaneous NAME TYPE) -T- Appliance Fees Inspected and Approved .................. ........ --------.......................... . DATE INSPECTOR HOUSE GAS PIPING Number of Outlets V j Size of Main s y" Gas Piping Fees � .� —�—"— Tested and Approved .. . /�. ....�... ............................... DATE INSPECTOR �f ! State License /l0 ZALL to k T.� ° n n O G `w'b n b Rn =v �..® z � O_z 0o+1 n o n 'G Wo N > � � E •a 3 � nnV N � ~ y o " O 1 n cN: n n rn O � • ^ T O T •b d y O 7' y e LSO r a, 0o 'o Z o z A v W ni T N T y, o z Remarks (Check ✓) f Type of Appliance Units Fees New Replace Relocate, 3 Gas Ranges elIGas Plates +Cirrculating Heaters :Blower Furnaces s Gas Fired +�� �•^ Warming Ovens ;, Percolators- `� w "Griddles { Steam Tables rGravity Furnaces KSiupended Unit •_ II Floor Furnace Miscellaneous NAME TYPE) '('N r pp lance Fees i inspected and Approved/r�..� ...... ......................... DATE. INSPECTOR ti-6 - �o r ,_ f _ n, 0 r� a 5- o � nny z N _ m o, �' • z nm no z : 0 ,lip �n � M