435 9 &13r
NO.
MUT
w APPLICATION FOR BUILDING PERMIT
r ° CITY OF CUPERTINO
rc _
o < r Sanitary No.
s� I
i LL DateM Permit No.
' o I 9N��
4 W A i t�pq'1 rebSry a fol a'permltto EP9ii�7
o .titM re ''IJO!I
ain a story,Type DBuilding
to be gct}tpi4d oft!¢asLtsnrwr 1vAS 4"A e&fc:r Lu,—.r-
0 o in accorraaa3nce witiitth(t Plans, Spea cations and Plot-Plan filed herewith.
t', ; Estimated Value of Improvements, S IyO _ Fee S - c"o
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, locatiog, and use of buildings within the City of
J o Cupertino will be complied with.
3 <
_ Owner �/T ./L AddressA0-6V'4 y S
G'cI
a a By Addres z
of
`0 Phon S-9,k -- - APProved
State License ING INSPECT00.
RECORD OF INSPECTION APPROVALS
FOUNDATION I _
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
rRAME j
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