215 C)t t I N3 • / • W` LOT NO, IW
NO. STREET
w APPLICATION R BUILDING PERMIT
Y CITY OF CUPERTI
_
s0 5 {{l Uy
r `o anitary No.
Datlf !11/!� / 4 /L ss JJ j96_ _ Perm t No.
o r 4A4fplication is hereby madkoVt a p it to 2eC—
< c`fiC
i N a story,Type _ Building
to be occupied only as
20 in accordance with Plans, Specifications and P Plan filed here e nh
Estimated Value of Improvements,S��Z Fee S a/
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Ji all oth laws applicable to the construction, locatiop, and use of uildings withi the City of
d o Cuperti o will be complied wit
3 < 6
_ w caner Address
rc a S:z;-2rL 140 V SQ Address
f I° Phon a — 1 — Approved
State Licens BUILDING 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 Adikk
DAT}; INSPECTOR