1141 `re Zi+ 107 N0.
F•,NO: �C STRGE
` APPLICATI N .FOR 'BUILDING PERMIT .
O• 'y. ITW OF CUPERTINO �/ 9 v .
x.19,5' � •' Permit No
.r•;, •tYhckitidh Is Me ma e,f rT permit to-
_ Build' s
h /
- to be occupied only as
G` ;h in accordance with Plaris, Specificatiois and Plot-Plan filed herewith.
fY o0
„^$ Estimated Value of Improvements, �t 0 b O"� Fee$ .�'�`"+-'-�`�'-`'' '
.H ❑ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and M ,
. �; •i all other laws applicable to the construction, location and use of buildings within the City of .
yid,t rl �j Cupertino will be complied with.
/A'� _
r� Owner Lerii�.�on/s./6 V�Y'�.�. .tti.Address `C/'P,li�s>: Ct�.GAC10 V.
i Q �
By �' ; Address _
RACTOR, AGENT _'
hone ice. 3L%G a Approve d 1.
BUILDING INSPECT011 b (�'
RECORD OF. INSPECTION APPROVALS :,•'
FOUNDATION d
rl, - INSPECTOR !`
FRAME
D T6 J INSPECTOR '
LATH' nd PLASTER — - " ' - �'i."' - •.,'+• ' 'i `
DATE INSPECTOR Y
FINAL BLDG.
DATE INSPECTOR •' ��ar
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE I \ YINSPECTOR r
FINAL GAS t•
w DATE - • .INSPECTOTO