2396 (2) STREET
W APPLICATION FRj BUILDING_ PERMIT
°
3 � +CTI o ( l� PERTINO'
/�R
nitary No.
�9
i u Date 196 t- Permit No. . z4t?6
° C/
o „ Application is Hereby tr ode f r a ermit to
a
ato a story,T Building
w
W
x to be occupied only az
0 o in accordance with Plans, Specific ns Ad'Plot-Plan filed herewith.
c.
F 3: Estimated Value of Improvements,$ �. t*'J, SOC) "S Fee;$
z J It ishereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buil Ings-within the City of
J O Cupertin III be comp�lif d yitfi. /� jt% /�AL(/��e wl� zlle
02�0 IJAW&=� Ale—
rc n By , //r6 6✓a 'r.�rfy- ix�r ._,. 'Address— T. " 4..Awea
�( u 4
aU APProved
State License ?,2 h ! eUILDING INSPECTOR
RECORD OF INSPECTION• APPROVALS
-FOUNDATION �
DATE. INSPECTOR
UNDERFLOOR �•
DATE INSPECTOR
FRAME
DA'Z'E INSPECTOR
LATH and PLASTER
DATE TOR
FINAL BLDG.
DATE 94, INSPECTOR
FINALELEC.
•t�—DATEp INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS 3-/0- _
0
ATH INSPECTOR
-' Mi_'J, /111
I /
�ul+i
Gas Permit No. .... --
GAS PIPING APPLIANCE FURNACE
APT. TESTED AND INSPECTED AND INSPECTED AND
NIT APPROVED APPROVED APPROVED
1.
2.
3.
• 4.
G.
7.
8.
9
10
1 P.
13.
14.
15. \\
• 17.
1 g. -
- 19
0.
•21.
22.
.2i.
24.
?5.
118 1/63-500