544/61/7/ Loi
NO. STREET • /.
APPLICATION FOR BUILDING
e..QITY OF CUPERTINO
a / story, Type
at _CITY OF_ -U
�0 to be occupied only a -
a
NO,
PERMIT(//
Permit No. 5*TL
Building
in accordance with Plans, �1� 3% and Plot -Plan filed herewith.
Gstimated Value of Improv nts, S 1eloo0 Pee $7
v
c It is hereby agreed that the requirements of the Cupertino Building and Zoning O inances anJ
u all other laws applicable to the construction, location, and use of buildings th' thefy'ty of ��
Cupertin ill be co ied
with.
��p (fill/CA-0 LA( t'/MQ-
Owne y� Uri f Address�7b
Address
Approved
BUILDING INSPECTOR
R C� D�9F ECT
OUNDATIO L
... l/
FRAME T \
/ ATE
LATH and PLASTER
D TD
FINAL BLDG.
DATE
FINAL ELEC.
DATE
FINAL PLBG.
DATE
FINAL GAS —
` DATE
OV4LS
INSPECTOR -
INSPECTOR
INSPECTOR
1
INSPECTOR
INSPECTOR ,
INSPECTOR
GAS SERVIC NOTICE oeff&,
.� - COPY,
BUILDING INSPEC OR'S OFFICE
CITY OF CUPS TING
. :
... .
To - ..
You are hereby authorized to conned the GAS service for '
Owner or Tenant ..�.!0 .f'.....................................
....r'� .. .. ... ......._'----.......
/O�fpO
nt.........................:....... .......... ...
..New Service .... .................. >
No 'of Meters ....-%.....:-......... ' Reconnect .............................. -
p Move Service ........ .-------- :.....
,
No. of Add, -Meters .............. .. Move. Meter ..........................
.. .......................... -..
lr� PLUMBING INSPECT.....OR
I 10 C/59-500