419 ,2O3 W G C LOT NO.
Sri
w IFAPPLICATIFOR BUILDING PERMIT
r o FQEB 20 1964 SOF CUPERTINO
Q,LL
o - Sanitary No.
SV
F 'o T j�96_ Permit No. /. �� !�
Date?ET VYOFS�I
'o r Application is hereby made for a permibt((;f e.G4' 3U 3 f- /
i m 91ery,Tye � Building
I to be occupied only /3�_ 75&
�'
0 o in accordance with Plans, Specifications and Ploot_plan filed erewith.
Estimated Value of Improvements, $ rOU�� 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, locatiog, and use of buildings within the City of
O Cupertino will be complied with.
3 N Owner N k O r A M L R I CA Address-)U -&3 S'rEV C 1L15 C IZi�k
Xa Bye - C��j a vc t5 Address rn�irK� VP S"T
01
4 U Phon C y- 'a `1 L Approved
State License
C S BUILDING INSPECTOR
ys sc-
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
+�1 DAT INSPECTOR
FINAL BLDG. + I
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS Adlbk
DATR INSPECTOR