126 '=X
II LOT NO.
NO. STREET
z APPLICA ION F • R BUILDING PERMIT
91
x ° ITY OF CUPF.RTINO
0 U \del fj SanitarX No.
= n Date 196_ Permit No �•� �+
0
LL w 0 Application is hereby made for a p mit to [�
Oa /
z m a stor9,T / uilding
aw n
to be occupied only a� �� C _e
a
9 o in accordance with Plans, Sp Vfications a cl lot-Plltn filed herewith. O
r ; Estimated Value of Improvements, $ X66. Fez$ /�7 _
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiog, and use of buildings within the City of
-' o Cupertino will be complied with.
3m Owners- % T•s. :F / fl!-ht.ar.�,Address
W w gy / / t i': :r . AL/y" Addresses t L /
a u Phone Approved C f C-f /
y State Licensee<) r7)1P C��'��-' _ ' B ILDWG INSPECTOR
RECORD OF INSPEP.M)APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG. 4�'
DATE' INSPECTOR
FINAL ELEC.
DATE ✓/� INSPECTOR
FINAL PLBG.
DATE lb INSPECTOR
FINAL GAS Adak
DATE I INSPECTOR