3018 l
I.OT NO.
No. SnEET 4p,
2 APPLICATION FOR BUILDING PERMIT
N Q
2
' M
r o AS CITY OF CUPF.RTINO � , 9
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0 ® �G�
S 9
o a anitar}� No.
50
i re .t, 1196 Permit No.
`o
°o W Appliiiccatiion�(is hereby made for a permit to
6
ito et r
Building j
aw v r i i
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Pl4 ked h e i
> � Q,000 s ��ao
Estimated Value of improvements, Fee
iJ 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
O Cupertin6 will be complied with. p
3 P Owner�S"Ncc /71L C.n. Address 100 d.zz
D 9'
w By .t Jj 0.k Caw S f_G.m. Address//?A Q0!(A L_AAj10
Phony 7.3✓nn—�Ofn L+ S. i/. i
Approved
State License 'T un srecToa
RECORD OF INSPECTION P RbVALS
��C.Zo
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DA 11. INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE SPFCTOR
17INAL BLDG. �I-lo G
DATE INSPECTOR_
FINAL ELEC. _-
DATE INSPECTOR.
FINAL PLBG. I -� �a
DATE INSPECTOR
FINAL GAS Adak
DATE. INSPECTOR
If