454 NO. STREET
APPLICATION'FOR BUILDING PERMIT
CITY OF CUPERTINO
Da --5`Z," 195,a Permit No.
licarortl , ett _y permit to
a story Ty e Buildin
L J 9ya b
It
to2 o[�upied t9nly as
1
in actor ante with�Plans, pecific ions and Plot-Plan filed herewith.
Estimated Value of Improvements,t$ � Fee$ o9 I /p0
v
c It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
u all other laws applicable to, the' errs ction, location, and use of buildings within the City of
;j Cupertino will be complied with.
M Owne Ap Address
Addres
AGENT
Phone Approve
Bp 11111 INSEECTOa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR ..
l
LATH and PLASTER
DATE INSPE TOR
FINAL BLDG.
, I
DWT E INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS 1
DATE INSPECTOR