1817 /o ,J.722iir� - LOT NO. /,
NO. STREET I'
APPLICATIO FOR BUILDING PERMIT //
7) L)
I OF CUPCRTINI
Dat Jal 195_ Permit No.
X1 7
f4poica iqn Vierc� deo 'permit-ta � ��/ ��st7orY,TYPc _Building
at G1-f_tt_-'V
to k occupied only as
in accordance with Plans, S cations and Plot-Plan filed herewith.
Estimated Value of Improvements, $-Aa5;00 D oa , Pee$ '7"D
v
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws a cab to the construction, location, and use of buildings within the City of
Cupertino wt.Owner Address
By Address
CONTRACTOR, AGENT
Phone/qL- - y 6 6 O Approved
BUILDING INSPECTOR
RECORD OF INSPECT16N APPROVALS
FOUNDATION2-
DATE NSPECTOR
FRAME
�-� TH INSPECTOR
LATH hd PLASTER 1 /
BATH INSPECTOR
FINAL BLDG. ' I 7 ' 7
DATEfNSPECTOR
FINAL ELEC. . I, n
DATE I INSPECTOR
FINAL PLBG. \
DATE A INSPECTOR
FINAL GAS
DAT6 INSPECTOR