414 / ,�— I& ///Yl a.Q LOT NO, / 3 ✓J
NO. STREET
w APPLICATION FOR BUILDING PERMIT
g �t ''f'�// \\ CITY OF CUPERTINO
0,:] J X// � =�Cti`� Sanitary No.
w V
Date �r1f'r�r�r �. �,../__ ''196— Permit No. �,5�-
i o ,li ` 11 IJO/ (�._
Application is hereby made for'a permit to H e, �
i to a C rNtd Pf+story"Type---L.-1I.0 Y, r— I,'�,� ,3 -'�S (Building
aw —• .v. yr ''L.4 L ti '. .� /
to be occupied only as G 6M f" L)
ail I" ✓Dy' 5 �12 /<a 1'i�. G
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. �0
Estimated Value of Improvements, S % O r Fee$ -3 —
i J 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
o Cupertino will be complied with. ,
3 m owner K-rf, (tr—g7 F()nJ/�tx . Address J40 3� BI)1114,0—ef/A9 J
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s By 1 A P�+ n �s ¢ G Address 9 t /T
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a U Phone Ap
�I7 State License ILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR