51001.3i3s8
t.or xo. 87 ry
NO. STREET /
wAPPLICATION FOR BUILDING PERMIT
s O CITY OF CUPF.RTINO
oa . Sanitary No.
5 O hz Jm1r al
i Date ® —7 Permit No. -5-/04
0Q11
4 ApplicatioTisshdrellpghe ermitto Erect
oQ
<m a�� to ��IT e 5-1-J Building
to be occ y a roily Dwelling
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, 3-30.000.00 Fee S 90.50
O
J 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.
3 m Owner OAK KNOLL COMPIWY Address2383 PRUNERIDGE AVE. SC
wZ
W a By Address
� 0 Phone 241-8161 APP roved WILLIAM D.
State Livens 197558 BUILDING INSPECTOR
r
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE. INSPECTOR