51161No. APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No. 1"
Date 196Permit No. S I f L
///fAj�pplpl"�icat��i� o is hereby made for a permit to �Gi_�► Le
ua_�71�y,�ew S Building
�/��
to be occupied onlyy , f Nr
0 0 �inkaccordance with Plans, Specifications and Plot-Pla d herewith.
' nr - `O
F 3 Estimated Vilue of Improvements, $ = 4000QO Fee $ (09o a V U�[`
z J It is hereby agreed r that/the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable rot t construction, location, and use of buildings within the City of
O Cupertino will be complied with. 4S
3 N Owner �i% E ON a Add sJ.0oS
i
Z
ByAACJ771 (?d/Yf% Address
a U Phon 7 ��jApprove
State Licens e rvc trvsvrcroa v
l C
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE. INSPECTOR
DATE. INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE. INSPFCTOR