NO PERMIT NUMBER 10062 Senate Way 40
NO. STREET - j, LOT NO.
CITY OF CUPERTINO 4.55
APPLICATION FOR BUILDING PERMIT
SANITARY NO. 9412 '
FILE NO. 51,150.2
DATE 6/17/76 19_ ,
Application is hereby made for a permit to -
Construct (Plan BL) a 2 story,type 5 N. Hr.
to be occupied only as I & J Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith. „
ESTIMATED VALUE OF IMPROVEMENTS $ 65,000
FEE$ 217.00 PLAN CHECK$
OWNER CURL Village Greens ADDRESS 2570 El Camino Real, M.V.
PHONE 961-6050
. 255-1422
CONTR.. ADDRESS
PHONE STATE LICENSE 220382
;'L`t✓""..�.441\ 2.'t. APPROVED James H. Sisk/h
j�7 7
BUILDING INSPECTION RECORD
DATE I PECT.R DATE INSPECTOR
FOUNDATION /S-7 FLOOR STEEL
PRE-GUNITE FRAME ! 2
BOND BEAMS _LATH
WALLBOARDS
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
Al FINAL BLDG. -7 —
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS `
MOORE BUSINESS FORMS INC.,LA