51179NO.
Date "DUCT 11 1967
a
LOT NO._
FOR BUILDING PERMIT
OF CUPERTINO
1'I' .Sanitary No._
a permit
to be occupied only'*—d*rm ' o"K
Plans, Specifications and Plot -Plan filed he
Estimated Value of Improvements, $__-iz
It is here������b}}}}}}'''''' agreed that the requirements of
all oche applicable to the construction,
Cupertt w be complied witly7. __
Phone
State License J 3 3
/3 3?'
Building
in accordance with
PI Ck Fee
Fee $ �J =
Lino Building and Zoning Ordinances and
and use of buildings within the City of
INSPECTOR
/ r 7 ' LOT NO.
NO. Sn E.F.I'
;APPLICATI N FOR PLUMBING PERMIT
Z j�`,:_ l �_�\ CITY OF CUPERTINO
x 0 ; l n i Sanitary No.
o � P.�OUT 11. 1967 J-11
o < Date — 196— Permit No
3`
U _ Fees
° r%iTlic\Za
tpit on is ti re r made�to the Cit, of Cupertino fora permit to install plumbing
0 : 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.
w x
� r
Use of Premis
00
3 Owner-1/ u ��L_ Address
z By � Address,
'5a>-fir 7�g"
O CONTRAC OR,AGENT
3`�s76 5
. Phone
w z
A o tate License J? u3 Approved
- U PLUMBING INSPECTOR
FIXTURESNUMBER MAIN DRAIN
UNITS FEES UNITS FF.F.S
Water Closet I 1 11 Material
Shower
11 To Prop. Line
Lavatories
To Existin
Kitchen ink
Not Conn.
Dish Washer
Sewer Box
Waste Disposal
Sys. Fee
Material
Comb.Sink&Tray I 1 11 To Curb
Drinking Fountain
Floor Drain 1 11 WATER SYSTEM
Sand Trap
TOTAL FEES
Urinal
Fixture Fee �—"
Area Drain
M
Mai. Drain Fee
Water Leader
Storm Drain Fee
Sprinkler ValveWater
Sys. Fee
Relief Valve
'S—O Gas Fee u
Vac Breaker
3 °
Skimmer
3
Filter
5 L
Pit Fee 7 v—o
erm
Total
Y / f/G / �X� LOT
NO. STREET
APPLICATION FOR PLUMBING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date _ I fi_ Permit No
NOV 14 1967 Fee $
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes a I xty.Iss h ed on the reverse side hereof, and agrees to install said prices
and/or dr s �,Q�11accot��l}���t_ rovisions of the Plumbing Code of the City of
Cupertino, and all other aws I r thereto.
Use of Premises
v
Owner
By Y (iYitlf3�'.,osi/ifi.Gs6.eLT
CONTRACTOR, AGENT
Phon��737,Po— 37,Po
State License's 23 g�y�
i57ao It/.✓cssrs7�r ,(��,�
Address C /PEC'7'-rJo
Address "3i�s�• LQSCU �t/file+
ApprovedNILLIAM D. BENEVICH
PLUMBING INSPECTOR
FEES
Water Heate
Boxes
xture
rea urams
Sprinkler Vales I I II Water Sys. Fee
RECORD OF INSPECTION
Underground Rough...
Partial Rough..
Rough Complete..
Main Drain
Final...