100017 r o �z� 1-� " q
LOT NO.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
s �
Y o CITY OF CUPF.RTINO
CLL
O Q Sanitar{' NO..
50
FDate 196Z _ Permit No. 0 O t o f
o
LL Application is hereby made for a permit to 4- zp_c
O � � �
i m a www story,T pe 5 ��.A Sit Building
to be occupied onl
20 in accordance with Plans, Specification nd Plot-Plan fileJ herewith. e0
Estimated Value of Improvements, Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiop, and use of buildtINSPEC10
of
j O Cupertino willbe complied with.
3Q / y
_ a Owner �� l� %/l-tir-/�'•—"-��� Address
W Z �aaBy r -«.i ��L wu� Address
i U Phon G - OApprovedState Licens BUI
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR