496 (2) LOT NO.
NO. STREET
r1
APPLICATIONFOR BUILD_,LNG PERMIT
CITY OF CUPERTINO
a Date =,1 195_ Permit No.�—
\t Application is hereby made,forsa permit to o� o
!� a story,Type �� Building
to be occupied only as 2
rJ in accordance with Plans`Specifications and Plot-Plan filed herewith.
u Estimated Value of Improvements,$ Fee$Ao O C)
y 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 within the City of
Cupertino will be complied with.
v
n
Owner 11,e4 ieS 17vf-iE'fTr /14NClc, Address/C3/2
By - L j t j0k Address/O% Atot.Yw 4�yV.I SAN J�&L
CONTRACTO,� GENT Ic y
Phone C Sr7- 7'3 'j,
4 Approved �Q!
----- — HIIn.DING-INSPRCTOR
RECORD OF INSPECTION APPROVALS
5�1c'
FOUNDATIONlt 5
D TR INSPECTOR
FRAME .q
D T INSPECTOR
LATH and PLASTER -- v --
-- I INSPECTOR
FINAL BLDG.
D T6 INSPECTOR
FINAL ELEC. 8
DATE INSPECTOR
FINAL PLBG.
D Tq PECT R
FINAL GAS —
D H INSPECTOR .
1 .