433 � .,o ��c. L . �� ���'dr�s�• iy Yl
NO. STREET 61
w APPLICATION FOR BUILDING PERMIT
o G ITY OF CUPERTINO
o < Sanitary No.
50
w Date vvIy
Permit No: 'T� -�
* o :I 196+1
* W Application is hereby made for -permit to 7
i N a I s y �yg ,'r�� c e• y Building
to be occuprr
ied only as U- c�LcP c. GU ?T
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> 0 Estimated Value of Improvements, $ h Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, locatiN, and use of buildings within the City of
J 0 Cupertino will be complied with.
3 m Owner P17-Z, Address �D•Lfl� r� J
Z
BA ddr s G 1✓
us
U Phon U S-Y - rov
State License
ILDING INSPECTOR
`� —
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DA*I'E INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG. I
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR