2313io
LOT NO. /00
NO. STREET
_c'APPLICAPOIN FOR BUILDING PERMIT
CITY OF CUPERTINO
rEmAY 151963 Ul' sanitary No.
Date 196_ Permit No. =2/ 3
Pv r J1 r: nl rf T'p a
plicatton•Is hefepy Lnade for a,permit to
a�_ stogy Cl a tl _,c,�� •� o(Jf•/�C.!'I�CA• Building
to be occupied only as [7.Ifil sky orl G[_Q A4gr-C4."
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ /00 40,0 Fee $ a o;
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cu ernm�ywv/s/vr{/d/��CC c lied wi h. /��
Ownert/� _ Address 4efy"L
Address
Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR