684 /O LQLQ_ LOT NO.
NO. STREET
%P"ICA O OR BUILDING PERMIT
} �I _ CUPERTINO {�
Date Permit No. /p/J
��eeApplicat�ion/i�srhere�bty.11m�ade for a permit t 1 � -
aoZG ;-t--i�6',ry°U. E.
at O
to be occupied only as
in accordance with Plans, 9 ecifications and Plot-Plan filed herewith. o O
Estimated Value of Improvements,$__f�✓� Pee$
v
C 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 buildings within the City of
Cupertino will be complied with.
i
F? Owner Address
By_ l/ ��F-��—�� Addres
CONTRACTOR, AGENT
Phon G 7,S72 Approve
DOILDING INSPr:CI'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE �•INSPECTOR
LATH and PLASTER
�ODATE SPI!CTOR
D'TE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
Y