2759 (2) aLOTNO._y ^
m a NO. RECI°°�a
w ® PPL'IGAtiTIO tFOR BUILDING PERMIT .
x ° / q 'c' a t
OF CUPERTINO
3 a 17 N�V 6 19V� SanitaryNo.
w Date 196_ rmit_ No.
c�C 7 �.
a Applt ati n Is her by made.for,a,DMV ,17 to •-.Q �St
o a t/l
i U) a l story,Type Building
ato be occupied only as
0 0 in accordance with Plans,�Specifications'and Plot-Plan fil4herewith. ' 00
F3 . Estimated ValueofImprovements, $" �On - Pee$ -
o a -
z.�. 'tt:is hereby agreed that the.requ•irements of`the Cupertino Building and Zoning Ordinances and
z all other laws 'applicable to the;mnstruction,•I cat' , and use of buildings within the City of
d o ,.Cupertino will beg•complicI with.'-'rr"
3 Owpe Address
W z
rc a Be \- 1 .. ti:-7Y�?dr4!y, .Ad
�.0 Mnvr
z APProved Y .'
Stit[e : ICCnS j.. r .>- +-5 [`M*t,- ,BUIL ING INSPt:.CI OR 1 f f
pe
S� r '
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR .
UNDERFLOOR '
..DA"I'E.. . _ INSPECTOR ,
PRAM_ E A1.
✓ .ti
' DATE INSPECTOR
LATH and PLASTER
1. DATE: INSPECTOR
FINAL BLDG. 1i
� t DATE .cJ .INSPECTOR "
FINALELEC: .. -
DATE �. F INSPECTOR ,
. :I;INAL P,LBG.
. [ DATE l INSPECTOR
FINAL GAS :.�.`•c'.;
�• • L DATE, INSPFCTOR�
1.