213 NO. STREET
E ¢ AP,PLICAT ON FOR BUILDING PERMIT
O ° `� 2L CI1oY OF CUPF,RTI
NQ
o < W tl � anuary No.
i Da //y �JI96� mi o.-
r O
o Application is hereby made for a permit to Fre c f 3 si J/91'1
a o a p yl tfte P�y e (or ee1C ie C�. hr . �!`t �j Building
to be occupied only as P7 (�/Q le— �Q n8 4 L3 v 2-
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
m
> ;2,0r 3 Estimated Value of Improvements, $ S Fee$ 3
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of-buildings within the City of
J
O Cu ertino. 'II be -complied with.
_
3 N Owner l7"f cc ss
Q a By Address
.V Phon — App
State Licenseroveda r NG INSYF.Ct'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE: INSPECTOR
UNDERFLOOR
DATE INSPECTOR
17RAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. i
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATP. It INSPECTOR