2896 /ay3,S faR7AL- // "L . LOT NO.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
, a
CITY OF CUPERTINO
2 _
o � / -� Sanitary No.
Uate
5 U � � a f'1961 Permit No.
W W
' id
o r Application is hereby made for a permit to
a
i N a sasy,Type Building
aW
to be occupied only as
o o in accordance with Plans, Specifications d Plot-Plan filed herewith.
oc
> ; Estimated Value of Improvements, $ g1hOO Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning 0 •nances and
Z all other:laws applicable to the construction, locatiop, and use of buildings within he City of
d o Cupertino Ill complia with. - /
3 �Owne �' ^• !>`><�tiQ-O)'s/ Address X0/3
N
W W
W a By Address
-0 SU on Approved
M State License BUILDING INSPECTOR 1
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
/LATSTERDATE` I
(\ t/.. �n / n'SP.cion /
FINAL BLDG. `/ " C ->-[� (�
IX
FINAL ELE(
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR