674 LOT NO. h 9
NO. MEET
APPLICATION FOR BUILDING PERMIT
110 17 CUPERTINO
llatc_ 1c 31 Peunit No. 6711
t,p�pli�;itidn is hereb}� ade for a permit.to ��./�
a�_story,Type Building
t
t
to be occupied only as / • ' �� ' .CC��/'
in accordance with Plans, Specifications and PloYlan filed herewi
Estimated Value of Improvements, 5 d ' Fee$ �(�
u
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.
Address /0 `�u P<�i .• ,�e Ca
By Address
CONTEACTOR AGENT
Phone C��—��,1�'QC� Approved tv 2G%
BUILDING INSPECTOR
RECORD OF INSPECTlgm .APPkOVALS
FOUNDATION �.
DATE INSPECTpR
FRAME
DATE INSPECTOR
LATH and PLASTER
A SPP.CI'OR
FINAL BLDG. -� /lTfi/D Q
ATR INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
1