943 r/l I IJ. SUnituyvAie -SACZAT-C"No.
NO. STREET
LLI.0 T . FOR BUILDING PERMIT
OP CUPERTINO W-3 .2
1111 Dat (i 19L� Permit No. ! -J
�AH7plµicati on is hereby made for a permit to C R Lc C 1
�c3f F+7 Ypt d7 Pc_
a stc>��f�2 .� X f O � 1 � hL 13uildin�
t� atc2sr nM ' //ZIUCwf�c (� Lr� 3�� l� • SUNN(fVA/20. ,
ogid,
to be occupied only as 1gJve1--I IseMo �7 TAC I LITie4
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, Q Fee$ _
v
It is hemby agreed that the requirements of the Cupertino Building and Zo mg Ordinances and
allother laws appli}a61e to_the construction, location, and use of buildings within the City of
;.j Cupertino will eon plic With.
<n
Owne Address C' ,
ByAddress
1 �j��TAAr�r�Qal� NT� A ro
PhonelJ 7 •'[/(L_V 6 pp B LDING INSPEcto)
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR `
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. ��
DATE INSPECTOR
FINAL ELEC.
DATE i INSPECTOR
FINAL PLBG. I--
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
i r J