51181LOT NO. /✓
NO.STREET
ej-&APP,LICATIION FOR BUILDING PERMIT
{IGTY OF CUPF.RTIN
VDEc 151967 I' O Sanitary No. 333SL��=
Date ���� 196 Permit No.
(�jTA,ppbcetion 1s hereby,made for a permit to
a ' ,40 story, Type I/X/ Building
to be occupied only as .Slim in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Fstimated Value of Improvements, $ 4�2 Fee $ ZZZJ�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other lawsapplicable to the construction, location, and use of buildnµtgi itytn r Ity of
Cupertino will be complied with. UI IL-C.KANt
Owner Address 2295 DE LA CRUZ BLVD.
,� . G.(/ t,GLI//`� L A. CALIF. 97A9111Byl% Address
Phone Approv
State License z�� -1 ING INSPECTOR
x /
�CIy.3 S/1NN.0 AwJ CZ LOT NO. O
/,)APPLICATION; FORT PLUMBING PERMIT
,apR �J6$ tc_L.'
o
zCITY QLrCUPF.RTINO
w Z ,
r v Sanitary No.
a �
0 Date 3-196 1965 Permit No
3 a �, r I'.VIP
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W LL • l: Ci.I l %'; 1 e 1�v Fee S
To
� Application is hereby made to the City of Cupertino for a permit to install plumbing
o a 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
a w Cupertino, and all other laws applicable thereto.
., Use of Premises
00 c^
3
Owner C:2091.) k,16 --4C Address g/ X133 c I-14Al A) 7)ti1
0a
ZJ
�Z By St�iQ C//SOF Address c141c 1i10Co L,4) l4tJc�77
3 a CONTRACTOR, AGENT
—am Phone %2!Z3' O/7�i VOa]
W Z
w w
WILLIP,M, D. I3EN=VICH
0State License
0 Approved
go
a o
_ U,�- PLUMBING INSPECTOR
FEES
Water Heate
Its
ler Valves
INSPECTION
Plain Drain
Final
Fee
. R