493 r /?
J�v3�n ����I�/'Li-PI✓3'l_/L�. LurNn._� /1
NO. STREET
tgg;NAjPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
,^ n 195_ Permit No._ / /�
t�II �
I
Application is hereby made for apermit
/Jto_2A 2�
QTY
I OF Building
��d�0 �^ X Building
Vat) 1 v�' wvt -e--
to
e—to be Occupied only as 4?
'in accordance with Plans,fSpecifications and Plot-Pla filed herewith.
Estimated Value of Improvements,$IQQK/ .426 . Fee$Y-j d o
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
;j Cupertino will be complied/with.
i7 Owner/t o_� Address
in
By Address
CAMACTOR, AGENT
Phone -c. 2 V-SR S' I Approve
�11 �111G
INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
4FRAME I
,
DATE INSPECTOR
LATH and PLASTER
�1 DATEG NSPECTOR
FINAL BLDG. �/ �� �`�
ATG INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG,
DATE INSPECTOR
FINAL GAS
DATE Aft INSPECTOR
1