1805 / /y/
/+�iY,OS�G, '/ .✓ LOT NO.
NO. STREET /
APPLICATION FOR BUILDING PERMIT
w CITY OF CUPERTINO p
Dateo�r9 �u-!�-Q 1c9J , P mit No. �rJ 0
Application is hereby made f ermit to - �.
a story,Type Building
at ze
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith. r
Estimated Value of Improvements,$_�On -��� Fee s NO i=
N
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with. /
17
Owner ��`'� Address �� �•/I—�' .P
.B Address ^-a
�,TR��eGENT'Phone �� . Approved
• BUILDING INSPECTOR
RECORD-OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME -_
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. 1
DATE INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR '
FINAL GAS 1
\ _ {� DATE „ 'INSPECTOR