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51167.2LOTNO. .W Z ! °A W&A ,161 FOR BUILDING PERMIT oY LL give ��' 7 ��� 6HITY OF CUPERTINO _ a `- Sanitary No. � - Z SU W LL Date 196r Permit No. ��/� o F '�-Appllcatidn is h reby ma�e fora permit to z Ln a story, Type Building aW ato be occupied only as cS �• in accordance with 0 o Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee F3 Estimated Value of Improvements, $ a 6 Fee $ TS-.Sf) z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all other laws applicable to the construction, location, and use of buildings within the City of o Cupertino will be complied with. �-MANe Owner Address2295 09 lk4 CRAB Z B YD. W a By �. �4,e ' _, Address SANTA CEARA, (,'�I►F. 95015r' a U Phone o? S%%� ���Q Approved WIL'L.IAM D. E3ENEVICH. State License / ��� BUILDING INSPECTOR V D11 rU r I N I, PLUMBING PERMIT CIT P CUPF.RTINO 1MAY 91 9968 Sanitary No. Date May 27, , 196 8 Permit No `S-1114 UTY ['� C"(PERTWO Fees __X 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 Dwelling Ditz Crane Company A2 Z De La Cruz Boulevard By Palm Plumbing Company A144SSunnyvale-Saratoga Rd. CONTRACTOR, AGENT Phone 245-2323 State License 186579 WILLIAM D. BENEVICH Approved V PLUMBING INSPECTOR FIXTURES NUMBER MAIN DRAIN UNITSI FEES I UNITS FEES Water Heater I Isize Water Closet Material el Bath Tub / To Curb Shower To Prop. Line ✓ Lavatories .3 To Existing Kitchen Sink Not Conn. Dish Washer Sewer Box Waste Disposal Wash Tra STORM DRAINAGE Washing Machine Size Water Softener Material Bar Sink To Main Drain Comb.Sink&Tray To Curb Dental Unit Drinking Fountain Floor Drain WATER SYSTEM Ho erSize Restaurant Sink 17eteri al Sand Trap TOTAL FEES Urinal Fixture Fee Area Drain Main Drain Fee Water Leader Storm Drain Fee Sprinkler Valve Water Sys. Fee Relief Valve Gas Fee Vac Breaker Filter Total Fee