51155/OO`/ I &' LOT
NO. STREET
APP tC TION FOR BUILDING PERMIT
1�7?
{n
TY, OF
Sanitary No.
Date i 1 �p�E196jCUPERTINO
_Permit No.
Application is hereby made for a permit to.—Z'c,-r7,f 4-(,z Lf'
a ��jsroryn'Lypel.�� ri�' �. Building
to be occupied only
in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck BeF
Estimated Value of Improvements, $ 3 'S
0 Fee $ :�,w
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 �wiill be complied with. -
Owner'"_4 _rreE //_12i111W le:2'z) �•. Address /co6i aC,. ��H /✓�ry
B� \ Address -3931
Phone 379 — y 6 3 y Approved1--=--
State License BUILDING INSPECTOR
�cc6i I,il4_r
A� - OT NO.
NO. STREET
IAP& {4x OW, FOR PLUMBING PERMIT
��CI F CUPERTINO
z i
xo `�� Sanitary No.
0 LL V' - -�9sa I '
0 < Date J '96_ Permit No
30 i
Pee $
LLw Application is }�efeby p;lpgE t`i¢� of Cupertino for a permit to install plumbing
01 pipes andJlo'r\6xtu as fir On he reverse side hereof, and agrees to install said prices
> and/or fiztdre's in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w x Q
a Use of Premises
00
r 3 Ow /-/c'N7C.12c �'/�I e'iF'r i`zov v AddresAy 6 / i0'D..t�e9�✓� s/
0< /
z z By�� \ Address 7132- (/,z .>AL le Lf
CONTRACTOR, AGENT
3<-96 i
— 0 Phone 37�s 3
a o State License Approved /-r/ N/w✓�-�-�/_
— U PLUMBING INSPECTOR
FIXTURES
NUMBER
MAIN DRAIN
UNITS FEES
UNITS FEES
Water Heater
Size
Water Closet
_
Material
Bath Tab
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen Sink
Z
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Wash Tray
3
STORM DRAINAGE
Washing Machine
Size
Water Softener
Material
Bar Sink
To Main Drain
Comb.Sink R Tray
To Curb
Dental Unit
Drinking Fountain
Floor Drain
WATER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee j �;L
Area Drain
Main Drain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee
Vac Breaker
Skimmer
_
Filter
Permit Fee ;k W
Total
Total Fee . S6 r�
/00(./ I 'z4&Yom/ LOT NO.
NO.�. 1STREET
CAPPLIC TION' FOR PLUMBING PERMIT
JI!j I i' I.,68 / Sanitary No.
Date 1964vK Permit No.
- - r Fee $ (0.
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
r /
Owner �'4� T "-�= it Address �/f�q> „ I y
By QGL ig&tc ^>r"^"2 -r e.Address -361
CONTRACTOR; AGENT
Phone -q 7--% �G
WILLIAM D. SENEVICH
State License l 7 �Gr � Approved
PLUMBING INSPECTOR tl
V
FIXTURES
NUMBER MAIN DRAIN
UNITS FEES UNITS FEES
Water Heater
Size
Water Closet
Material
Bath 'rub
To Curb
Shower
To Prop. Line
Lavatories
To Existing
Kitchen 5ink
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
Drinking Fountain
Floor Drain
WA'T'ER SYSTEM
Hopper
Size
Restaurant Sink
Material
Sand Trap
TOTAL FEES
Urinal
Fixture Fee 0
Area Train
Main Thain Fee
Water Leader
Storm Drain Fee
Sprinkler Valve
Water Sys. Fee
Relief Valve
Gas Fee d
Vac Breaker
Filter
Total I I j C'4 11 Total Fee I l S'U