1673 / O/�-- Z K� E q ` COT NO.
NO. PSTRF.F.T OR BUILDING PERMIT
® al CUPERTINO
Date Permit No. /h=7�_
Application is(hereby made for a itto 2 fes.C
a cr std T�p Building
at W
' to be occupied only as o� I
i
in accordance with Plans, Specifications nd•Plot-Plan editere t6. S�
„ Estimated Value of Improvements,$ Fee$ 1
It is hereby agreed th the requirements of the Cupertino Building and Zoning Ordinances and
all.o r laws applicabl t the construction, location, and use of buildings within the City of
iCuper i will be complie ith. .:",
Owner 2a Address
By (p1t EdJ Address, S
CONT ACTOR, AGRNT "
Phon� 4 Approved F
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION f
DATE 0 1 INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER —
DATE INSPECTOR
FINAL BLDG. 1
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR