984 ••ll � i
�C06$(� / \ prJl?', OJQS Q LOT No.
NO. STR F.EgT �
® t 1�J,I I" FOR BUILDING PERMIT
/�p� /�_ CITY OF CUPERTIN6,
Date' t o . 0 I � 95— Permit No.
(�A�lliYiication is hereby made
ff1o��rr a'�permit to 2 G i,n
I�a st1PP ,Q?XR 1 W 12 k o2 b POra 1 Building
at �-b G. _� , 2 1 q U Q S
to be occupied only as � `I ' k a O
in accordance with Plans, Specifications and Plot-Plan filed herew h.
Estimated Value of Improvements, Fee.
v
C: Itis hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws app(cable to the construction, location, and husebuildings within the City of
Cupertino wi (plied with.Owner Addresray Addres' NTRA TORAGENTPhone ApprovLDING INSPEC OR
RECORD OF INSPECTION APPRWALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
ATE -JNSPECTOR
FINAL BLDG. ,
D E INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG. 1
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
I, !the u ider., !Cned do hereby certify t .at I am
the ,owner and c up. it of the single family dwelling at
for which I am making
application to dD as a home owner.
I so certify tha' I rill not hire any non licensed
�� ,ontractor, but will do this wort: myself.
TELI JEUNE N . ]IR
SIGNATUrE