429 NO. STREET
W APPLICATION FOR BUILDING PERMIT
r , lif
i OF CUPERTINO
0 , Sanitary No.
OLL Dat , r �� L96z Permit No.
f 0 f
o Application is hereby made for a permit to Gt WI4,T
i o aCITY st� `� t /c) r6 �✓ Building
I to be occupied only as I c-n UtT W ter
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> m /� Fee E Iy o
F ; Estimated Value of Improvements,$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertinowillbe complied with.
; m Owner—%�%Z- '�A��e'�I c Address - L/).4�Yp� '&,-7 S
W2
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<U PhoneAper
State License BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DA'1'F. INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR