1323 / dS I ' -w!Ar,,4 , I` AN ^(-..� LOT NO. `
NO. STREET
pp)) Pf O� FOR BUILDING PERMIT
I OF CUPERTINO
7 195_ Permit No. IJ2
M Application�is�phereby made for a permit toe M CC(/2
CIRM ,��T Building
It l O.Y—I I CA rJ1(��,
to be occupied only as 7
in accordance with Plans, Specification and Plot-Plan filed herewith.
u Estimated Value of Improvements, $ 0 Fee$_l" z__
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner G A = P`Address
6 _ By Address O C�n a"
ONTRACTOR, AGE
hone Z Approv r'
EUTLDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION _
SDA Er
FRAME DA f PEC
R INSPECTOR
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ATR INSPECTOR
FINAL BLDG. I Z to ' 1-
DAT INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 1
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR