202 2 a� g 1 �QJ e CJS �Ceet� �leo.
NO. STREET
W Z APPLICATION FOR BUILDING PERMIT
E �
r o CITY OF CUPERTINO
o < Itar \`O.
50
_ Date 196/ Per . '
ro
o Ui Applica ion is hereby made for a t to
a rnrn.. ``��
Z N a�story,Type Building
W1 to be occupied only as
9 o in accordance with Plans, Specifications and Pt-plan fi ed herewith
r ; Estimated Value of Improvements, $ Fez$ \
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other law appliable to the construction, locttiop, and use of buildings within the City of
0 Cupertino wi complied w
3 wn �--'
A L with. ddres
W Z
WW By ddress� t l/p
07
a U Phon VApproved -
State Licens BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER I
DATE. INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE INSPFCTOR