2933 (2) -� LOT N2
NO. STREET
w a APPLICATIO FOR BUILDING PERMIT
O CITY F CUPERTINO
�
0 , Sanitary No. (�
5U7
W , Date 196_ Permit No. I C 3�
0
4 Application is hereby made for a permit to
oa
W a story,Type Building
to be occupied only asGC
a
0 o in accordance with Plans, Specifications and Plot-PI)n ed herewith.
"; Estimated Value of Improvements,$ _ Fee$ j-
i J It is herS§y agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J [ all other laws applicable to ,the construction, location, and use of buildings within the City of
o Cupertino will e c �nplied w th' ,
3 F Address Q!>7A<:.t'
— w Owner
W Z
X a BAddress
a o Phone 3 — R95 . Z466 °
State License emLoi �
t
4"?RECORD OF WOW R OVALS'
FOUNDATION _
DATE .INSPECTOR i
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UNDERFLOOR f
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER `a i' • +r
- s
D1ATQE ,�(�I_INSPECTOR
FINAL BLDG. ` V _ ' � '
DATE 1 » INSPECTOR
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FINAL ELEC.
' DAT6INSPECTOR �r
FINAL PLBG. iA
•♦ DATE INSPECTOR
FINAL GAS
fDATF f. '� �' k. INSPECTOR is