1530 / -_ E0 1A �.0 f�V.7 LOT NO,
110. STREET •-
AP�CfT�A N OR BUILDING PERMI ,
p � � ~ CUPERTINO tZ 6 S
Date d Permit No. S
Application is hereby made for a permit to
a0) CITY stOVAPA-1 P z— Building
at 0 (:-, e,--k C" Q
to be occupied only as �' j)u L�
in accordance with Plans, Specifications� and Pl
ot-Plan filed herewith. �t
~ Estimated Value of Improvements, g l —I - 6 r�-{\ Fee S Oo0
a,
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
aall other laws applicable to the construction, location, and use of buildings within the City of
v
Cupertino will be complied with.
Owner - s /il. -#a_ Address
By Address
�J{4J CONT0.AC1'OR, AGENT
` Phone 0 o pL
Approve
BUILDING INSPEC O
RECORD OF INSPECTION APPROVALS-
FOUNDATION
DAT: INSPECTOR
FRAME
INSPECTOR
LAT:fT:a> PLASTER
DATE INSPECTOR
FINAL BLDG. 17-CS^ �y�((�)
DATE N R/' INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS �/0 -ate "
INSPECTOR