242 3ti40 3ylr
LOT NO.
RRE
w ¢ APPLICATI d FOR BUILDING PERMIT
AY 20 1965 ' OF CUPERTINO
F
o Sanitary No.
5
U
= 4
o Dat �f COUP o96_ it No.
�+ Lf� I11Y
o a Application is here ade for per it t ,
iN a_ s T e uil
to be occupied y •
0 o in accordance with Plans, Specifications aannd—Plot- filed here ith.
3 Estimated Value of Improvements, $ Fee$_^�
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 will be com lied with. (�
3 Owner11nd11e -{ � uIIC Address/ S,Addresy
Z
'By ` Address
`U Phon 1— Approved
'` State Licens 1 Z 3 BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE: INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
• FINAL GAS
DATE INSPECTOR