374 _/ae'oO " LOT NO.
NO. STREET
P ONS FOR BUILDING PERMIT
*Appication
OF CUPERTINODa195 PermitNo -:$is hereby made for a permit to "6-2.'fe1�
a stbtVlPER IYV
at 1��UU1",� Building
to be occupied only as
in accordance with Pla s, Specifications/and Plot-Plan filed herewith.
„ Estimated Value of Improvements,$ %, O� `i - 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 w'l'be complie ith
InyGOO
Owner ' �-u Address
i
BY Address
ONTRACTOR, AGENT,
Phone r Approve
BUILDING INSPECTOR
lot
RECORD OF INSPECTION APPROrVAL���9
FOUNDATION ��9�9
ATR INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER —
D TRNSP.EC O0.
FINAL BLDG. \
DA INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG: 1
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR