108 (2) I •� LOT NO. g2Z 7 <a E 7_J
NO, IL STREET
2 54 {PPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date —� . 195— �..Permit No. A0
` Application is hereby made for a permit to 'gefz z
• .a .�story,Type Building
at
robe occupied only as
n
in accordance with Plans,Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ /zeml) Fee$
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 buildings �y_ithin the City of
w Cup in will bg plied lith.
cn Ownfi� ��-C LCQ?C. ,"
BY Nk Address
C TRArTO ENT
Phone 7r' ApprovedGl"
LaUiHCDINO INSPECTOR (��
RECORD OF INSPECTION APPRp* 4LS
FOUNDATION
D E I SPF.C�'OR
FRAME 3
D T %�SPF.CTOR
LATH and PLASTER �
TE INSPHCTOR
FINAL BLDG.
D H INSPECTOR
FINAL ELEC. .
D - INSPECTOR .
FINAL PLBG. 'Z
—E` INSPECTOR
FINAL GAS T
DATE INSPECTOR
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