51139 7�Lft � o e�Tl,QyleS ST �`l2/
I.or NO.
NO. STREET
W a APPLICATION FOR BUILDING PERMIT
a ° fo IT-IL
OF CUPF.RTINO
5 S/i3 9
i LL Date I � `; ,� � Permit No.
ro n
, W Application is hereby made for a permit to
o �
w afor T►p}t Building
a RTINO
to be occupied only as-
in
i-L
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> ; Estimated Value of Improvements,S• t'-` m� Fees S. 0_9
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
o Cupertino will be complied with,
3 a
_ m Owner -V nA A_ Address
By via. ael (M-v�.@LAddreq
Phon 3' n k�— Approved
LState Licens _ Bu ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION •1
DATE INSPECTOR
UNDERFLOOR
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 Amhk
DATE INSPECT00.