109 (2) 17
NO. ear Js _
54 (CATION FOR BUILD( G PERMIT
I CITY OF CUPERTIN
Date , 195 Permit No.^fT
Application is hereby made for a permit to
a
i story,T e C Building
YP
at
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
a Estimated Value of Improvements, $, Fee$ ;2
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buil ' wlthi he Ci of
^� CupertiA ill b compCJg8'with. / '
.y .. ! ' !/ _ ` �!
y.7' �.-LL Gr'�1�-st2, �j6
kE
gp `c ! Address d �
O A[TOR HNT
Phone- —
BUILDING INSPECTOR
RECORD OFt INSPECTI APPBOV', LS',
FOUNDATION I,
ATH INSPECTOR
FRAME 3
ATH ^ SPPCTOR o !
LATH and PLASTER
T➢ '1 INSPECTOR
FINAL BLDG. `
H INSPECTOR
r,� I
FINAL ELEC.
ATH INSPECTOR I
FINAL PLBG.
A �
ATB INSPECTOR
FINAL GAS
DAT I: •i. y�INSPECTOR 1'^"'1i
1