100033 I� 9 7 I SIREET OT NO.
3 APPLICATION FOR BUILDING PERMIT
r o CITY OF CUPERTINO
0 Sanitary No.
�
5 U
ILL Date 196 Permit No./30. 03-
' 0 1
o Application is hereby made for a permit to&d�L
a ,
'z in a story,Type —�- Buildin
a w
to be occupied only as (tea¢ /i VWt-(i -u iAQL
00 in accordance with Plans, Specifications and Plot-Plan fillee6herewith.
F ;
Estimated Value of Improvements,S Q 000 Fee qgcf�
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction locatiop,��of buildings within the City of
o Cuperti rill be c p `d with. �.
3 <
_ Own Address //������
a By Addres /7 42 �i-�c.
of
a U Phon Approved r
j\ State License 0 U Bull. ING INSPECTOR
r
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
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