2881 (2) NO.
w APPLICATION OIE BUILDING PERMIT ,
p .,:
a onI OC:CUPERTINO �.,
5 U a t S- 3 r • .r Sanitary,
i W Date - 196_ , �LFe'Irmlt.No..-
n i ^�
o ". Applicatios hereby trade,for a permit to
•.
". `-;+«!,
a t J
Z m a story.Tvne \ ) Building"
,W. to be occupied only as "
'o_ ot•�fn.accordance with P1ans,,Specifications an �n�led herewith. ; -
'• Estimated Valueof,lmprovemehts,$ �.' Fee$; ' 7
+'ia
J It is hereby agreed that the requireme 8f Cupertino Building and Zoning Ordinances and
>'j Z . all other.:la vapplicable to -the construe cation, and use of bu�il/d�rags within the City of
.,f j.0 Cupertino dl re compliedwith'. I � - j /J�
3.F r Address uC.o Qef-�!`�L`ke'll
- Owner 7Pi_.'
By �c- Ad
.ta o,. Ph
on . 7� t
1 f $tatebLRcens r' ���� .N _T;: BUR 'niNO RNSPECI'OR
RECORD OF INSPECT�IQN APPROVALS
FOUNDATION •
DATE �:' �'+ INSPECTOR
UNDERFLOOR
DAIS INSPECTOR
FRAMF
DATE INSPECTOR
LATH and PLASTER
DALE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL EIEC.
DATE INSPECTOR
I
FINAL PI-BG.
DATE INSPECTOR
i
,FINAL GAS AdIlk
DAIS - N:,.�rp� INSI'P.CTOR