45 /Q9ao
N NO. r If
a
ar
NO.
FOR BUILDING PERMIT
= Z
ii
0 pV CITY OF CUPERTINO
o < ?MhL• r 196 . Sanitary No.
3u �[
_ LL Uate � �� � 196_ Permit No. /
o rv �G (is p€yRTr�in' �126CT sltaAl
jl�Application is her by made for a permit to
a
i
to a � story,Type &ZL ST.9�vv��6 PO = B i ing
aw J gyp
ato be occupied only as �C. /QU O2
20 in accordance with Plans, Specifications and Plot-Plan filed herewith. _ r�
Estimated Value of Improvements,S��D 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
0 Cupertino willbe complied with
3 m
Owner it& rG ADO�rT/T/�o /YO}� Address /J?! .)
-�,27 IA✓C Address �d6
a Phon
Approve
State Licens 4 BUILDING INSPECTOR
(qMNDATION
CORD OF INSPECTI N APPROVALS
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
. DA T6 INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PiBG.
DATE INSPECTOR
FINAL GAS _
DATE INSPECTOR