620 ��r�a� � _•IAYAJ Lor No. ,
NO. STREW ,
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO s,
Date�¢9 t � Permit No.1p_2(-40
Application is hereby made for a permit to
a story,Type Building
at
to be occupied only as
in accordance with Plans, Specificationnss�andd PPllo an filehQerewith.
Estimated Value of Improvements,$Z j...t0400 : Fee$ N� FEE
w
It is hereby agreed that the requirements of the•.Cupertino Building andZoningOrdinances and
all other laws applicable to"the construction, location, and use of buildings within the City of t••
Cupertino -ill he complied with. ,
Owne !wme�ess
VS c'
.3 _ PFVNe'*&A0 Address
CONTRACTOR, AGENT
Phone 0AJ 7-3"AApproved
1 BUILDING INSPECTOR
RECORD OF INSPECTION PIROVALS
1
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
1
LATH and PLASTER
/ �DAATTEE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. +_
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS —�
DATE INSPECTOR