51001.3'10249�...,Ainswortth`Drive LOT
NO.� T �� IL (kT r', nP
N rl I �`—�
W APPLICATION FOR BUILDING PERMIT
p ° 'DEC u ] X96] N� ITY OF CUPERTINO
o : Sanitary No
/vys-
a
w LL �Uate , December 14 196-2 Permit No. S % o
o I1 Uf (A.�, K IRIF)
�. W Application k hereby made'for a permit to Erect
oa
i N a 1 story, Type 5-1-J Building
to be occupied only as Single Family Dwelling
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
> ; Estimated Value of Improvements, S 30, 000, QO Fee $ 90.50
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3i
_ y Owner Oak Knoll Company Address 238 Prunerid e S.C.
w z
a By Ad
of
` 0Phone 96l -RI F,I Approve
I� State License
197558 _ BUILDI.. ..S "TOR V
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE -
INSPECFOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE.
11N,S P FCTOR