2162 (2) �,�$�� LOT NO.
uta
z Z APPLIC T " OR BUILDING PERMIT
Ea
FIFED 5 g �c F CUPERTINO'
3 a , Saniiary No.�
U ' ._�� WoV � . .
i o Dare catior p1963 Permit No.
`o Applin is hereby made for'aa permit to E/PCCi
z(f) a story,Typep S Building
W I to be occupied only as X;100 .71�t /-6G2 elww�lu n, *' S' '
20 in accordance with Plans, Specifications and Plot-Plan filed herewith.
oa Estimated Value of ImprovementSy' 0y0_ Fee$ 6.3
z J It is hereby agreed that the requirements oJ.the Cupertino Building and Zoning Ordinances and
A z upertall other lno will
applicable to the construction,, location, and use of buildings within the City of
d O Ciill be complied with. r �" '
"3 *.
_ Owner -1r2— CR9i114/ ._ .r 'Addre::s •S.� .�. .0/la'r�• 'i �''"
y m .
—.--'-`Address
o Phone -2rV-k/0.-3 J
� Approved - ' . "ee
State License 7 / BU14pnld INSPECTOR
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RECORD O SPEC ION APP VALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR _
• DATE INSPECTOR
FRAMES
DATE NSPECTOR
RDd1PLASTER �
DATE INSPECTOR
FINAL BLDG..
:J.'DATQ. INSPECTOR
FINAL ELEC. `5_
- 'DATE' a it, 'OR
v
FINAL PLBG.`
-`DATHTq Q v'�INSPECTOR I
FINAL GAS
K t DATE INSPECTOR