51038 /03 G / '/ f K LOT NO. I J 39 it
NO. STREET
` APRLIGA�ION FOR BUILDING PERMIT
2 ° p� �� CI�y�OF CUPFRTINO
o < �J !I,1 Sanitary No.
Date -• � 196 196 Permit No. J JF
r O
o Application is hereby made for a permit to
i N a r Tl Y (tory, 'I ER�, 1mir,:.J S' O��c�d Building
I to be occupied only as Stili�m�.� 7O o L
o 'o in accordance with Plans, Specifications and Plot-P an filed herewith.
F3 Estimated Value of Improvements, $ Fee$ (.3
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
d O Cupertino will be complied with.
3i
_ N Owner Ll-woS e / riSTnZ Address /034 /tbjji
W2 �q / —
n By 1A,/7Ton.� bo(S Addre3 A 5-
4
`U Phon — o Approved
State License — _ e Nc ""'c'O.
_ V J
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE - INSPECTOR
UNDERFLOOR j
DATE - INSPECTOR
FRAME.
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR
0