3024 No. STREET
w z APPLICATION FOR BUILDING PERMIT
z �
° CITY OF CUPERTINO
2 _
o Sanitary No.
Date 196_ \Permit No. :3c- 1'
`o o Application is hereby,mad;10,r?,
forpermit to
z m a C; IAO story,TYP -� U J—r' Building
ato be occupied only as �'P
r
0 o in accordance with Plans, Specifications and'Plot-Plan filed herewith. (�
F3 Estimated Value of Improvements,$ Fez$ -
o a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of 6ildings within the City of
d o Cupertino will Ib lied with.
3 Owner`. F �— Address /
4-. y _ Address
Yz /
a o Ito 21L 37 7— %,k
A — Approce�C AA.
State License
BUILDING WSEF.CTOR 1
RECORD OF INSPECTION AP3ROVALS
FOUNDATION
DATE ><., INSPECTOR
UNDERFLOOR
DATE! INSPECTOR
FRAME'
.Sty
DATE INSPECTOR
LATH and PLASTER
DA INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSP17CTOR
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