203 1 C" 14 3
i3`i 7Z�
ANO: STREET
wAPPLICATION FOR BUILDING PERMIT
EW ;
o CITY OF CUPERTINO
0 LL
O , SanitarY No.
s November 30 4 03
i Dare . 1966 Permit No.
' 0
LL r Application is hereby made for a permit to Erect Directional Sign
oQ
ztn a story, a Wood Sign 4� x 2� Building
to be occupied only as r d
oo in accordance with Plans, Spec cations and lot-Plan filed rewith. Q-0
F ; Estimated Value of Improvements, $ 100.00 Fee$�
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
j 0 Cupertino will be complied with.
3 < Own r Hu=tin don S 1065 S. Hivay P9 S.J.
_ m Address
a s Bes ent Address S e as above
� F aBruncer
O Phone 252-7700 - -
_U Approved
State License BUIL tNO INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE. INSPFCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adlbk
DATF. INSPECTOR