206 I.OT NO.
NO. STREET
W APPLICATION FO BUILDING PERMIT
E �
r o CITY OF CUPF.RTINO
Cj
O �/ �anita Y Aro.
i `o Date /2 Z —, 196T Ferm14o. Z OL
4 w A plication-is hereby made fWa permit AV EITQC r—
i in a �story,Type Building
to be occupied only as � �'M
00 in accordance with Plans, Specifications and PIot,Blan filed herewith.
� ; Estimated Value of Improvements, anow Fee 3
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws appliable to •--e struction, locatiop, and use of buildings with' the City of
d oCupertino will b m I' it O
3 <
_ ,• Owner Address
wz
W a By Address
02
U Phon rte( Approve
State Llcens 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 I INSPECTOR
FINAL GAS
DATE INSPECTOR