628 w � LOTNO.
NO. STREET
AP` .'LlC�--ATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date , 195— Permit No�" 'Sl
Application is hereby made for a per
a story,Type Building
at nQ.
to be occupied only
in accordance with Plans, Specifications an lot-Plan filed,herewith.
Estimated Value of Improvements,$;4927—Art Pee$..(j—
u
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
:dl other laws applicable to the construction, location, and use of buildings within the. City of
Cupertino will be complied w(i)th.
OwneAddress/Oa4S nosQ
By Address L
r} CON
T0.ACTOR, AGENT' T.
Phone r.� L !) Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPRO ALTS
FOUNDATION . '
DATE 'INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DA INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR.'