2526 oZ oa9 a LOT NO.
w �1,
Zz /
APPLICATIONS FOR BUILDING PERMIT
° f ,JUL 19 196oCITYOF CUPERTINO
o < Sanitary No..
3= Date [ vi�L.1% 11�1I3 P No.
ju 5 —
`o Application is hereby made fo it to
i N a�story, , Building
< w
WLM
to be occupied only as
2 `o in accordance with Plans, Specifications and Plot-Plan filed herewith. co
> a00
F 3: Estimated Value of Improvements, $ /OO Fee$ oS
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location and use of buildings within the City of
d o Cupertirlowill beco pliedf�'ith.
3 a Owner ,f AX �..n �°-O Address 2.0'a
w Z
Q a By Add
of _
( 4 0 Phone Approved
Jf) State Licens BUILDING INSPECTOR
' b
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
E INSPECTOR
LATH and PLASTER
pn INSPECTOR
FINAL BLDG. /
DATEF INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR'