237 (2) .. r1Z. & „ J LOT NO,
NO. STREET
2155 APPLIC I N FOR , UI1LDING PERMIT /
.'. - C .OF CUPERTINO I
Date ���2 Permit No
77� . r�.
Applieation`is(hhereby made fora permit to r
a t` ,stor •T An Pi
.�' Y YPe' J Y�2"e—' Buildinj;,
to be'occuV
p12i1'oblya1
C.' '� • c--is-yl�!' -G .t..�'�E�. '
II I- v, �• ��,
in accordance with Plass, Specificatio}�a/n Plot-Plan fi ed herewith.. ,
Estimated Value of Imrovements,
p $ ;Pee$_ /1
w t; It+is hereby'agreed that the requirementsiof the Cupertino Building and Zoning_Ordinances and 6
all:other Arj appli le to the construction,"location• and'use of b iIdings within'the:City of
"a •Cupertin I c led wit
e 3,
Owner +''• -•; rr t .';-;., ."' Address'_ `
BAddress "
' - � .-TRACT , AGENT _
Phone A// L- �lApproved
-� EUI DING INSPECTOR �� :
RECORD OF INSPECTION APPROVALS
FOUNDATION
T � INSPECTOR
FRAME
TE INSPECTOR
i.ATFi and PLASTER
ATR INSPECTOR
FINAL BLDG. a�
DATE IN FINAL ELEC. _
• �� DAT5, •INSPECTOR
FINAL PLBG.. - .
DATE SPECTOR'
FINAL GAS
DATE INSPECTOR
• T