510/9900�� /
-I-�i1rJ'C/� 1.01 NO,
NO, STREET '
APPLIC,l;TION FOR BUILDING PERMIT
CITY OF CUPERTINO `
Date z— L 195 crm't N�Lr."J
A plication is hereby made for a permit to �P (°
a story, Type Ll Building
at "
v i
to be occupied only ash's
in accordance with Plans, Specifications and of-
v� Plan filed herewith.
Estimated Value of Improvements,$"r-ci[6.IZ.7i00 Fee$
v
a 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
;-a Cupertino will be complied with. /
i Owne .�(��
By •%� • �, ca!$/ ILC r Address
��fi�/ NT1tAC7�AGE.NT /
Phone `� •� ci, S!'' Approve , _ .L
IM LD NG INSPECTOR
RECORD- OF INSPECTIONS APPROVALS
Nt:
FOUNDATION -
DATE i{p /- INSPECTOR
FRAME I �
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. (O
DATE ,INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE ddm� INSPECTOR
I� b