51130 I03 /o 3/3 30AWY DR LOT NO. y9 /3yu
NO. STREET
w �APPLICIATION FOR BUILDING PERMIT
xtE
oITY OF CUPERTINO
o a ! �r,— Sanitary No.
i LL Date C 1�� �� 196-7 Permit No.V 1130
o � �DO
a w lst T}'A pplication is her -made for a permit to
i a story,Type )C 1 Al/< y Lin n>< Building
a to be occupied only asS/ E rem
lb
0 o in accordance with Plans, Specifications and Plot-Plan filed herew e--
3 Estimated Value of Improvements, $ SZ 4 Fee$ ��►�
zz J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatio I, and use of buildings within the City of
O Cupertino will be complied/with. `L--��
3 Owner �2�� d�,yl_Xz,I)f Address ���'/_i /Ye/v
W a By aufj Address
_- o Phone
pp
�l) State License /_5__ /6; BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR j
DATE INSPECTOR -
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR