1806 LOT NO.
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OFF CUPERTINO
Dat 71�,3 1 .194z- /'�Permit No. /d O 6_
A lication is hereby made fo erml to —G
a � story,Type 4� �� 5� �Xc22S4 Building
at
to be occupied only a
in accordance with Plans, Specifications and Plot-Plan filed herew'
o� t'//
a
Estimated Value of Improvements,.$ �_Oc7 Fee.$ No FTSE
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
aIt other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will ,,coyymplied With n
v�
Owner� r�X_ l�.1 .� Address A� �� stern✓ LGM!
By— Address.-
ACTOR, AGENT
Phone �� —CONTR %�3 Approveld—
)
•
Bill-DING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION _
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER _
DATE INSPECTOR
FINAL BLDG.
DATE w` INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 4
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR