1450 /0770/ O I e LOT NO.
NO. STRBBT
ABPLICAYI WFOR BUILDING PERMjtT-%w�T
C� cam/
IF CUPERTINO
NOV 14 196T
M5 5. 'ermit No.-
Application
u. /
A plication is hereby made for a per t
a I�storyQRE l; ilding
at
to be occupied only as _
\ in accordance with Plans, eci ications and Plot-Plan filed herewith. C, p
Estimated Value of Improvements,3/( O Q(D Pee.$ C�T/
v
C It is hereby agrcrd that the requirements of the Cupertino Building and Zoning Ordinances and
u all otlmr laws Rpplicable to the construction, location, and use of buildings within the City of
Cupertino w [be omp ' with ///
Own Qom` Address�� �/�
By-
Y Address i
// CONTRA OR, AGRNT
(Il 'Phone ell a 7-3 Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS .
FOUNDATION
DATE INRPF.CI'OR
i
FRAME /_����
INSPI!CTOft
LATH nd PLASTER
DATE INSPECTOR
FINAL BLDG.
DA'I'R. INSPECTOR
FINAL ELEC. 2
TE WSPECI'OR
FINAL PLBG. Gz'
DA E NSPECTOR
FINAL GAS G Z
DATE INSPECTOR