410 NO. f STREET
W Q f ;� _A'PPLIC TION` FOR BUILDING PERMIT
p ° Cly, OF CUPERTINO
0 '
� �JC'_ A 1967 Sanitary No.
5 �
o " �/O
= LL Date , 1962 ermit o.
r ° 'T" nr ni'm
o a �'Appllcahon is herby A i�iiV�permit
iu) a � Tvbe/� uilding
to be occupied o
go in accordance with Pla , Specific ns and Plot-Plan filed herewith, CS
F3 Estimated Value of Improvements, Fee E OAa
°JzIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, locatiop, and use of buildings't tethe City of
d o Cupertino will be complied with. SL .� . a- - Sr
3
— Owner. Tt
i tltlNo fko u� Address
wz
a By�D_WA%P m.tf Address
< o Phone `t 1 �Yd
— 0 Approv
.IState Livens 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 INSPECTOR
FINAL GAS -_
DATE. INSPECTOR