19733 Lot No.f`
No. Street 9V
APPLICATION FOR BUILDING PERMIT
CITY. OF CUPERTINO
Fila No.
.f// 7lr
Sanitary No. �'� �-3
Dote / 796
Application is hereby made for a permit to �r
a L story, Type
to be occupied only as
in accordan ith Plot Plan, Plans and Specification filed herewith.,
Estimated Value of Improvements S 3 -1 d P! CJ, d O
FEES !Lc's-0 Plan Check $
Ov,nor SSL Address j tet '- ��
Contr. Address
Phone �.t`` �� sed, State License caj 2
Approved 4'� 4
1
RECORD OF INSPECTION APP
RO
V
ALS
BUILDING
FOUNDATION DATE. INSP R
UNDERFLOOR
D/ATE ��^ IN9PE R
FRAME 3- 2'1
DATE INa PECTOR`
s, LATH & PLASTER-o4 . DATEf, INePE R
FINAL
//� // DATE CTOR