425 No. STREET
w APPLICATION FOR BUILDING PERMIT
' 0 ITY OF CUPERTINO
9 a Sanitary No.
i LL Dat M 961 Permit No. -
ro
o W Application is hereby made or a permit to
a (+��/��
z Un aTif7-1—Q�sC01n7(� �U Building
to be occupied only as
a U!
0 o in accordance with Plans, Specifications and PlotIlLn filed herewith. a�
F311 Estimated Value of Improvements,$� Fee E __
oa
z J 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
d o Cupertino w' bE co plied with. y'
3
_ m Owner, _ / �_ tress
rc n By - ��i6/ S o A ress ,� 03.. f r
o x S �.-"
1I` PhoneAPPro
ty State License 1 UILDING INSPECTOR
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 INSPFCTOR