2330 / r
LOT.NO.
NO. STB"T
W APPLICA I N. FOR BUILDING PERMIT
r o CITY Op CUPLRTINO
3 U - :�' . , I -t; Sanitary No. 2, 5,57
i LL Date ;'.196_ P it No. �
o T.
t 1 o a . . . Application is hereby made•for a permit to' ®/
'a story,Type Building
t a w . tL-fii�l •
•, r �,, to be.occupied only as
a
0 " in accordance with Plans, Specifications and Plot-Plan filed herewith. e S O
0 o O
i F 3 Estimated Value of Improvements,$ C ern' Pee$
1 oa
z J I[=is'hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all nt r Iaws.applicable to the construction, location, and use of buildings within the City of
0 Cu I .will bf Ecom lied Nv h.
r Address
B� .r7 Address Ar
�� Phone aS�g'3�S� APProved 'u
State Licens fsa �� 1, BUILDING INS'ECTON
RECORD OF I/NSPECTI N APPROVALS
FOUNDATION - h ,
DATE. - /y INSPECTOR
\1 V
UNDERFLOOR 7� � �7 .
DATE ( ;R INSPECTOR
FRAME
. DATE ( INSPECTOR
LH 3 `CASTER
�(( S
FINAL BLDG. _I -
,, , DAINSPECTOR -_
FINAL ELEC.
ATF . INSPECTOR
FINAL PLBG. '
DATE - - NSPGCTOR
FINAL GAS -�-_
DA f: WSPECTOR
1