NO PERMIT NUMBER of/7 O .3 I �� . Lot No. / 6
No. Street
APPLICATION FOR BUILDING PERMIT l
CITY,OF CUPERTINO
File No. ��
F'c
Sanitary No.
Data 9 19612- 1
Application is
hereby made for a permit to
'� ""'"'" a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements $
FEES nPlan Check E
Owner Address C1,74.S-1ma 01<' AA
(: _ Id4e.4or
'
Contr. Address
Phone a J-7—/// O State License -- - SSI 7 9�
Approved 49&,MAi
RECORD OF INSPECTION APPROVALS
FOUNDATION b 16 BUILDING
�r^ a Inape o
UNDERFLOOR �`
to Ina ecto '
FRAME Ya -di z
Da d �� n
LATH & PLASTER lalo
�
FINAL I '
Dal _Z'' ip Inspe ctcr _