3372 .�� LOTNO. 17
EET"N `
IKUL9
APPLICATIO FOR BUILDING PERMIT
� �
E0
r0 1963 OF CUPERTINO Sa3
LL
O J lll[a!p �I O. t \
F LL Dare WN
1 63 Permit No.
° 7;
LL pp kation �y ma e for a permit to 2L_'12 �
° < is heres-IV- d
i m aC_a��torY,Type Building
aw
ato be occupied only as 7��! 64!W %
20 in accordance with Plans, Specifications and Plot-Plan filed herewith.
o•'
> 0 g3l000 $ as
� 3 Estimated Value of Improvements, Fee
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and i
J Z all other laws applicable to the construction location; and use of buildings .thin the City of
O Cupertino will he colnplicd with.8/Q-�U
Owner/OCAS .QIS& /.[�C' Address 3S �rif1% ry
a By �_ Address Ek k1l Si
a u Phone5!v I — /O S A ro
BUIL
9� SLicense Su�� _ pp
/J G INSPECT
State cense
RECORD OF
rr INSPECTION A ALS
FOUNDATION rl
DATE INS .CTOR
UNDERFLOOR 7 _ i& - a 1
DATE 1 .PEC Oil
FRAME p
DATE INSPECTOR
and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. 1
DA INSPECTOR
FINAL PLBG. 1
DA INSPECTOR
FINAL GAS — 1
INSPECTOR