1944 (2) LOT NO.
..,
. NO. STREET gam,
D PP AATE; F�o`R BUILDING PERMIT
AUG �q�'Q Cl
OF, CUPERTINO .
Date '1 S+ v' Q .t 52? .�.i � �7 7'7/
95= Permit No.
Application is( Y
h,�ebyryyp'made fora permiit to �y0
a ( ff�/stbirT` ' j �ItYBuilding
;
at
to be occupied only
i
in accordance with Plans, 4y ecification acid Plot-Plan.filed herewith.
Estimated Value of Improvements, $ ��n Pee$�
y It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
" all other laws applicable to the construction, location, and use of bui dings within the City of
Cupertino will be mplied with.
23
A dress 24�t�C-Iz-f—L zv`
By _ Address - +
CONTRACTOR, AGENT t
Phone Approved ���
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION _
DATE INSPECTOR
FRAME
� DATE P, TOR
LATH and PLASTER
INSPECTOR
FINAL BLDG.
DA INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR -
I, the undersigned do he e rtify that l
I am" the owner and occu n
family dwelling at the s le
fo hich I am maki g application to do
work as� 'a. homeowner. +
f I als certify hat Iil not hire any
non-licensed �_ or con-
tractor, but will do this work myself.
TEL P,HO NUMBER., IGNATUR '