414%i10 %.�— !}4 /�/ n 9_RLOT 1 NO.
NO. STREET I/
w APPLICATION FOR BUILDING PERMIT
g �t''f'�// \\ CITY OF CUPERTINO
0'] J X// � =�Cti `� Sanitary No.
w u
Date Jf'r�r1r �. �,../__ '196— Permit No.�,5�-
i o ,li ` 11 IJO/ (�
.. Application is hereby made for._ apermit to H e, 7( S r0 n
i to a S rNtdPf) storPType---L'•.- ku V, r- ,'I.�(Building
to be occupied only as G 6M
f" L)
ail I" ✓ Dy' 5 its 12 / <Ai i �. G
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith. �0
Estimated Value of Improvements, S % O r% Fee $__3_
i 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 K -r f, (tr— ria F(•unJ/�t), . Address J40 3� BI) 1114, 0—ef A9
e '
as By1J.P�+n �s ¢ G Address �9t /%.tea. Pin
aU Phone 1!z? �9 —/
State License MILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DATE INSPECTOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR