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100145 10'117-1/7 7U19 LOT NO NO. STREET ¢�P , 1 FOR PLUMBING PERMIT � a f4ov 'C� OF CUPERTINO Sanitar Nu. 0aDate1967 y 6— Permit No. w LL Fee $ T o � A��a�on�ter�� �i��OCity of Cupertino for a permit to install plumbing oa pipes and or f�i"xtures hste on t re reverse side hereof, and agrees to install said prices > < and fixtures in accordance with the provisions of the Plumbing Code o6 the City of <w Cupertino, and all other laws applicable thereto. w x r r w Use of Premises 00 r3 Owner MawMrs. Crit Ld. L,no( Address /0*7 Ta/.r L�7E O < ZJ Jz By /lffJrshl 1J eorn6�us Address(,/./. l6 Frn/)/ t9ycf' CONTRACTOR,AGENT 757 S4nnsv/ IE - m Phone �S - w z w w ao State License Approved U�I PLUMBING INSPECCOR --TTXTURr9'- NUMBER MAIN DRAIN UNITS FEES UNITS FEES Water Heate Size Water C osets Material Bath Tubs To Curb _ Showers To Prop. Line Lavatories To Existing Kitchen Sinks Not Conn. ish Washers Sewer Boxes Waste Disposals ash Trays STORM DRAINAGE Washing Machines Size Water Softeners Material Bar Sinks To Main Drain Comb. Sink a Trays To Curb Dental Units Drin mg Fountains Alba I' oor Drains WATER.SYSTEM Hoppers ze Restaurant Sinks Material an raps TOTAL FEES Urinals Fixture Fee rea rains Main Drain Fee Water-Leaders Storm Drain Fee Sprinkler Valves Water Sys. Fee Permit Fee TOTAL TOTAL FEE RECORD OF INSPECTION Underground Rough... Partial Rough.. Rough. Complete.. N4ain Drain Final... /O 7 / ULA /--SAN LOT NO. No. STREET SPLE ATION FOR PLUMBING PERMIT aTYOP CUPERTINOw = p -�- x o Sanitary No. LL 0 a Dai r 19g�d Permit Nom `//�S• w U Pee $ T LL o a P T'�' �jt�is }y�rRo',gg jq he City of Cupertino for a permit to install plumbing i a d xt �� reverse side hereof, and agrees to Install said rices > and/or fixtures m accordance wit the provisions of the Plumbing Code of the City of a w Cupertino, and all other laws applicable thereto. w 2 � r LL Use of Premises 00 ,. 3:Owner_,& 1 C �4- l h/ r-;, Address 16 / 7 TUL rf 0a z z By Address O CONTRACTOR, AGENT — m Phone; w z ww $-2/-7 � a < oState License. Approved U PLUMBING INSPECTOR �� FIXTURES INUMBER MAIN DRAIN Units Fees Units Fees Water Heater / "! Size Water Closet _1 //,X7 I Material Bath Tub -4,o C To Curb Shower / 1 ), 5( To Prop. Line Lavat .4,qk To E " tin Kitchen Sink ! / zd I Dish Washer / Waste Dis oral Uahn Tray /,5 STORM DRAINAGE Machine 6d Size Softener / A/ Material k To Main n Sink&Tra To C Unit Fountain rain WATER SYSTEM r Size O rant Sink Material ra TOTAL FEES UrinalFixture Fee �'--- Area Drain Main Drain Fee Water Leader Stom Drain Fee Sprinkler System Water Sys.Fee Relief Valve Cqq Fee, 8 Vac Breaker Skimmer Filter Pool Sweeper Permit Fee Total / Total Fee _6�p /o No. Street APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Do to / 196 Application iby made for to be occupied only ns in accordance with Plot Plan, to Estimated Value of Improvements $ FEES Plan Check $ Owner ZA�.e /[�( O Address Contr. Address Phone State License Approved Lot No. File No. /60,/ Y-14— Sanitary No. story, Type and Specification filed herewith, APPLICATION FOR ELECTRICAL PERMIT Data 196 FEES Contr. Address Phone State License Approved APPLICATION FOR PLUMBING & GAS PERMIT _ Do to /, 196 7 GAS FEE E 2 PLUMBING FEE E Contr. _ tom/ ---. Address /0 -l7 k Phone -3 ?.- 7 State License Approved l APPLICATION FOR APPLIANCE PERMIT Data 196 FEE$ Contr. Address Phone State License Approved Applicants agree not to violate any of the. Workman's Compensation Laws of the ' .State of California RECORD OF INSPECTION APPROVALS FOUNDATION SIZE BUILDING ,OUTLETS Date ROUGH WIRING SWITCHES Date RECEPTACLES Inspector UNDERFLOOR FIXTURES Inspector Date Inspector Date FRAME Date Motors TOTAL FEES Date Inspector Date FINAL MAIN DRAIN Date Inspector LATH 8 PLASTER WATER SYSTEM FEE PERMIT FEE Inspector Data FINAL Date Inspector GAS PIPING FEE FINAL Date Ins oe ctor Inspector PERMIT FEE ELECTRICAL SERVICE SIZE UNDERGROUND SIZE IRWWATER TERIAL ,OUTLETS Date ROUGH WIRING SWITCHES Inspector RECEPTACLES FINISH WIRING FIXTURES Inspector Date H.P. CHARGE MAIN DRAIN FEE PERMIT FEE Date Motors TOTAL FEES Date Inspector SERVICE SIZE UNDERGROUND SIZE IRWWATER TERIAL Inspector Date ROUGH WIRING UNDERGROUND Inspector Date FINISH WIRING BLOWER FURNACES Inspector Date FIXTURES MAIN DRAIN FEE Inspector Date Motors MISC Date Inspector Date FINAL MAIN DRAIN MISC Date Inspector PLUMBING & GAS MAIN DRAIN SIZE MATERIAL STORM DRAIN SIZE MATERIAL SYSTEM SIZE IRWWATER TERIAL TYPE OF APPLIANCE TOTAL FIXTURES FEE UNDERGROUND FIXTURE FEE REGISTERS PARTIAL ROUGH BLOWER FURNACES Date Inspector MAIN DRAIN FEE ROUGH COMPLETE MISC Date Inspector STORM DRAIN FEE MAIN DRAIN MISC Datp ""'Cia. WATER SYSTEM FEE PERMIT FEE GAS PIPING r FLOOR FURNACE Date Inspector GAS PIPING FEE FINAL Date Inspector PERMIT FEE MISC Date Inspector TOTAL FEE MISC APPLIANCE TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE CIRCULATING HEATERS REGISTERS BLOWER FURNACES COMBUSTION VENT SUSPENDED UNIT MISC GAS RANGE MISC GAS DRYER PERMIT FEE FLOOR FURNACE TOTAL FEE INSPECTED Date Inspector (� 'O je/ 7 _. LOT GNo, STREET N Q w i!+r . 'IC ON, BUILDING ERM T x ° ® '- ��,SS--I '-''�`�d�.F CUPF.RTINO o a J Sanitary No. 5" 1 JUS 31 3967 / w Date 19 Permit No =o 'o - Application((ii�sFFhere((b'� made fora permit to ' a to a stbry, Fy Building w r to be occupied only a n a rd th 0 o plans, Specifications and t -Plan filed herewith. PI Ck Fee �-o �a j N; Estimated Value of Improvements, $ Fec z J It is hereby agreed that The requirements of the r t[�j�p at�/�nd`4 other her laws applicable to the construction, Ioca on, se o buil gs w" in the City of j upertino will be complied with. 4 N Owner/&4-71 `%%/JO Limit �/7r/ �i z // Address z >a — o _ \ tate LicenseBU ING INSPECTOR _ %-�...l� a -:r- _