149 LOT NO. ✓
NO. STREET `
APPLICATION FO �•BILDING PERMIT
CITY OF TINO
Date , 195'_ Permit Ng.
It
MIS
e ermitto �� =
a / stgry, !yRe Building
A `
to be'ocnipiedionl ag N —
."� "' atmY�r,�, r ti. r'U �t-
in accordance with Pla s, Spe s and Plot-Plan filed h ' with.
e
y Estimated Valuof:Irrip`rovement4,$'7��� ,: Fee S ':
It is hereby agreed that the requirements of the•Cupertino Building and Zoning Ordin nces4nitdi
all other laws applicable to the construction, location,,and use of buildings within .the City ofd..:+"
Cupertino w' be complied with, `rS
h Owner Address z�/a
By Address
CONTRACTOR, AGENT
Phone ' — Approved
} _ T
_ BU UING INSPECTOR•
RECORD OF INSPECTION APPROVALS
� 1r
FOUNDATION ja: mss.✓�i1C�S�,
AT INSPECTOR
FRAMr a3
eDATH �� INSPECTOR
LATH and PLASTER -
TE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 1-
• DATE INSPECTOR
FINAL GAS .
DATE INSPECTOR r