491 (2) w:•�' sift EF.1
APPLICATION FOR BUILDING PERMIT
IT s;'+
•._�A��4iCrrr or cuprxTiNo ,
D 195— Permit No. ZY
.\ ,
rApplication
hereby mpppe�for a permit to 4 i}Qyp13uildin
s
at �.r�'�—°—�
�. �a
t�
Oily be occupied only as �.r r(/J:i7z..;,
1i
.in accordance with Pla s, Specifications and Plo - Ian filed herewith.
Estimated Value of Improvements, $ j � �••- Pee$ le�2•
b a It is herereed that there uirements of the Cu ertino Buildin
CI - Y• R 9 p g and Zoning Ordinances Cit and
,all other laws applicable to the construction, location, and use of buildings within the City of
„•� Cupertino will be complied twtlt. – . .
owner :yer<<<e ''. Address �10 min 'e f
13y Address 6Y /Ae
CONTHACTO , AGENT
Phone &,l "� Approved,.'
BUILDING INSPECTOR
RECORD OF INSPECTION. APPROVALS .:
o '
FOUNDATION
'
DAS6 INSPECTOR
FRAME { p
DATE INSPECTOR {
-_LATH and*PLASTER" '
DATE
- ( INSPECTOR
• PINAL
f DAT - -� - INSPECTOR
FIIVALELEC
rj'a•;,." • •'3' '� 1' DATE - �` ',y'INSPECTOR*
FINAL PLBGi
••'9 '' INSPECTOR, 1 '
FINAL GAS'r
'•DATE INSPECTOR