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1838 (_O O 1 04,01-4 4 A �Z LOT NO. ,2—p 7 ". ®IJ#aAMqN R BUILDING PERMIT 74 17 cCi CUPERTINO oZ 7-3-9-)Date , �UL 196 , _ Permit No. t g Appj{G i�is�Freby�gta �T to taJrr �u I \-;a st ry,TYPe— Building at to be occupied only as in accordance with Plans, ifications and Plot-Plan filled herewith. e, Estimated Value of Improvements,$ /l Oion Fee$ O�/ u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and .1 all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. v ;�wnAr P'?� �� dress yAddressA, AGENTPhO�/ Approved aunru" "sp'cTOA J Q u u u u AL IL, Q p W 6. H N r1 c1 RZ , A;16 0 P4 \W 0. Q W 0 �< F z z w C. O p' on n > a o00 C) . b �' r o a O s e Lice rte C-� � :\ \� CD ` w { w « ( I ( M � S � � IN E » B } o\ /� \ no - > a » ) ( \ rn rn i ( \ § ' a } \\ b � o/ ƒ % aa : �URI'SUM E M T AIN UNITS I FEES 11 UNITS{ FEES Water Heater Size W-atc-rc7o-sctsl 3Material G/ Fath Tubs / 11 To Curb -� Showers I re 7 II To Prop. Line V.r I Lavatories 11 To Exi t ink Itchen Ss / �I Not oon. �y ish Washers /_� � rite Disposals J Uash Trays 1 STORM DRAINAGE ashmg Machines jI Size 'Water Softeners Ii Material j Bar Sinks 11 To Main Drain Comb. Sink &Trays II To Curb L_ _ -Dental Units I I II �— Diinking Fountainsl 1 11 _ 'Floor'—Dr- rains I I WATER SYSTEM ffPpers j Size Restaurant Sinks 1I Material Sand-Trapsj I TOTAL FEES Urinals Fixture Fee 1 00 Area D-ramsf Main Draih Fee I 00 _ Water Leaders I I Storm Drain Fee .Sprinkler Vrlves I I Water Sys. Fee I 00 Permit Fee , 0 0 OTAL I TOTAL FEE /7- 0 NCOR OF S TION P, Ill Rough yRough Complete ' inal fF �G 3 0 CA .0 m n ON S- License f ? § \ ( ( * 74 ; . . .� IM � � — � . \ \G ) � ® x ] oz. � $ \ ! \ ` ■ \ m (/ kk m 0 \ � n \ 0 f2 2 > ; ƒ [* m ` ; M $ 2 m , 5' � 0 $ [ k . » x . z \ ; a \ ; A � j � ' � ' / \ \ � j � ±\ 44 �� � \ � jjj § \ ~ ) ) ) i / / � : ! 44 0 LA ) 2 } ) JO rn41 \ \ / \ � t4. Z Z o X Z � ƒ / » \ . )� \ / � \ f � ƒ / } �� \ \ . ©�) isM m r \ \ � � \ � � � ` � �� � . 0 00 § m 0 m �0 \ �Z � / � � \ \ \ ` � \ } / ( } ( 0 ! License c A'pff- ° ` / � B } & \ V, a »� $ P ° ®f / / \ \ C) \ » C) 4A - m § �\ ƒ m } . r , E7 \// Remarks (Check J) Type of Appliance I Units Fees II New j Replace I Relocate Gas•Ranges j I II I Wall Heaters Gas"Plates ,j III I Circulating Heaters I I I I Blower Furnaces Gas Fired Boilers Warming Ovens j Percolators Griddles I j Steam Tables Gravity Furnaces Suspended Unit I Floor Furnace Miscellaneous i� TNAMF. TYPE) I I II I I I I II pp lanceees _,j ';;Inapected and Approved ....... ..... ................................................ DATE. INSPECTOR HOUSE GAS PIPING Number of Outlets j a— ( Size of Main I� Gas Piping Fees 12. j Tested and Approved . ..-.(�r' ....I.... .........:............................ DATE INSPECTOR . �State « llmm �(/ j\\ \} ) } ) f\ A� ; � ® Ot CD o n \ ) 2 / 4 } � � \ \ \ �- _ - j \ } ƒ\ • . § � - - t > \ ie ; � \ \_ � } � ■ - \ \ / m § \ 2\ 7 ° m a R \ \ \ 6N W 0 Remarks (Check ✓) Type of Appliance I Units Fees II New Replace Relocate , Gas Ranges Wall Heaters Gla Plates Circulating H,;iters Blower Furnaces Gas Fired Boilers Warming Ovens Percolators Griddles Steam Tables Gravity Furnaces Suspended Unit Floor Furnace Miscellaneous (NAME TYPE) - -T�r� pp lance )ees s �— Ipspected and Approved .. .. ......r............................ DATE. INSPECTOR i � �/ / . , FL PO \ 02 d 2P� z � 0 00 --1 ( ITI m ml ] � � } } � � � :