195 (2) 21 . 000 STcocNs C'fZe�r<� .
LOT NO.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
r ° CITY OF CUPERTINO
e -
o j Sanitary No.
50
Date—OC ?' Z 196-e Permit No.
r o n r
o
W Application is hereby made for a permit to /�E�'G v CE ���5/• �S
a
i to a story,Type _< cG/t1 (t ty s/�M(✓ Building
aw C
to be occupied only as_-_ JI a4� ` CC) y
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. 40
F ; Estimated Value of Improvements, $ ^Qa �D . Fee$'
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locations, and use of buildings within the City of
O Cupertino will be complied with. �+
3 a . Owner Address 5727 k?7-A/�T AA.r!�0$6
N
W a By `V N6LC= LG/✓Sc2.L� ' Address 2-3 N•L1101VC, MWG !
a V Phone 2 Z 37,q-7
C i - Approved
State Licens R It.DING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE INSPECTOR
UNDERFLOOR I
DA I'E INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG. j
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR