51134 ".OTNO.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
E a
r o CITY OF CUPERTINO
o a Sanitary No.
50
i 4 Date 196 Permit No!z�/ II
° �2e cam'
o Application is hereby made for a per to
i in a N F- story,Type I u N S Iccla Bui ing
w to be occupied only as X I '�I u N S �a.d Q 1�Q MP G IZ A2
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> wz �O
Estimated Value of Improvements,$ ��� Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
o Cupertino will be complied with.
_ w Owner
x Address I'
W
a By Address I PKry -�eePLN:
07
0 Phone K a53 3467
PP
State License BUILDING IN .CT
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
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. INSPECTOR