15120135 Extension RequestCITY 1f Of
REQUEST FOR PERMIT EXTENSION
Please e-mail the completed form to
permitcenter@cupertino.org
CUPERTMO
❑✓ Under Plan Review Process Issued Permit
Building Address: 21915 Eaton Place Permit Number: 15120135
Owner Name: Christof Krautschik and Yumiko Takamori
Owner Address: 21915 Eaton Place Phone: 4083002906
Contact Name: Yumiko Takamori
E-mail Address: yumiko.takamori@gmail.com Phone: 4083002906
Reason(s) (please be specific): permit applicant Christof Krautschik passed away in 2016.
1 have no idea if a final inspection was done. So, I need to schedule it to close the permit.
My roofer, ELM Roofing just completed installing a new roof.
ELM Roofing needs a final inspection ASAP.
Thank you. Yumiko Takamori
Signature: i
0
Yes No
Date: 02/12/2024
(CITY OF CUPERTINO USE ONLY)
Approval: ❑ ❑ Expired Date:
Fee: $
Revised 7/25/2017