2504WOO l� 4? LOT
NO. STREET
APPLICATION FOR BUILDING PERMIT
,CITY OF CUPERTINO
' Z Sanitary No.
Date 196-3 Perm, No.—,,:;2
Applicatio is hereby made for a permit to.,&
a Y story, Type z loptw
/ A'T/d Building
to be occupied only as�-elzy%-s
in accordance with Plans, Specifications and Plot -Plan filed herewith.
yes. S,
Estimated Value of Improvements, $ Pee $ o0
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. ,
"Y7T
Addressml?e erel u/(JGI�A/iP•
Address � S� Y MMZ.
a�
Appco,
__ Bm LDING INSPECTOR.__ _.
RECORD OF INSPECTIOV APPROVALS
FOUNDATION
DATE ! INSPECTOR
UNDERFLOOR
DA'I1:: j INSPFCTOR
FRAME
DATE INSP[CTOR
LATH and PLASTER
QDATE / INSPECTOR
FINAL BLDG. V J
/ DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS —�
DATE INSPECTOR