1469 (2) /oho / LOT NO.
JEAPPLICAYIO r� FOR BUILDING PERMIT
DEC131961ci t P CUPERTIN0 0
�0 Date_ �Pet.mit No.
195
ApJlbYio( fhe itt %\ Im r� Q
aI__�� story,Type UM 4212CtBuilding
at
QO to be occupied only as
in accordance with Plans, Specifications and Plot-plan filed he �t I.
0 0p CU<
Estimated Value of Improvements, $ Fee$
It is hereby agreed that the requiremen of [he Cupertino Building and Zoning Ordinances and
$ all other laws applica to the construction, location, and use of buildings within the City of
Cupertino ill be comp a with.
v
h Own ' Address
� f
By Address �a
CONT TOR, AG. T
PI e -0 Approved h
BIILLDING INSPCCI'O
> �ORD INSPETTIONl9P�OV
//
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER 1
DATE INSPECTOR
FINAL BLDG.
'-'1 DATE INSPECTOR
FINALELEC.
IftY DATE INSPECTOR
i l.
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR