506-; 0 `J s7 O_ JLUT No.
No., � STREET / `t
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO �j
O Y '+ , 195_ Permit No. v D
DQ
�licabon is her b ma e for a permit to. AD n
EN% Il189- ice;
a story, Type " 13ei;
at t -�
to be occupied only as � !
in accordance with Plans, Specifications and Plot -Plan filed herewith. p
Estimated Value of Improvements, $ �` O U . OCA Pee $ CZ D ,
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
ri
Cupertino will complied with. - —
�- Owner _ Address .✓ d
a`„13y l Address
” coNTancr6d'rnEN:
c';' r� • � -" /�/�
• / ,Phonc� —43 %✓� tr, s� ApprovedG
°.e•_�,. '`EutLDtNG.It SPCCTOR .
RECORD
OF INSPECTION
APPRO.IVALS
FOUNDATION
-
DATE
INSP TOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
ATE
I�NSPECTOR _
�3
' o
FINAL BLDG.
2
D T5
INSPECTOR
FINAL ELEC.
+
DATE
INSPECTOR
FINAL PLBG.
-
DATE "'
INSPECTOR
FINAL GAS
DATE
INSPEcToR