175 !/'Z.V/G{//I.OT NO.
NO. STREET
w CATION FOR BUILDING PERMIT
r D CITY OF CUPERTINO
o ® t Sanitary No.
5
_ 196_ Permit No.
° /t/�lo,� /l�•y
Application
�isChereby made for a permit to
a � laL_S1Ll�llfs6�, Building
to be occupied only as II C/J2 �Q 8
0 o in accordance with Plans, Specifications nd Plot-Ploank l herewith.
": Estimated Value of Improvements,$ /�DO s'�� Fee$�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
2 o Cupertinowillbe.complied with.
< Owner•�J/�e.J —SY/ ✓ie Address moi- .�D • � CFJr�I,C�if'
a —
W Z ///!'!'!u'/"SSS♦♦... (/ti=/A/LtJ.e�.
rc a By ///C/CC///JJJ�jRf{yNN�/��-LL` Address /ISE �-. JC
U Phone�el��
PPb A roved
2 .79
7
�^ State Livens _ �'auu G INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME,
DATE INSPECTOR
LATH and PLASTER
DAT INSPECTOR
FINAL BLDG.
i
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adbk
DATE. INSPRCTOR