1904 O LOT NO.
NO. STRRLT
�r
P� ICT ON FOR BUILDING PERMIT
Cc
OF CUPERTINO
m Date L /r 5_ ermit No.
App icatton is ereby ma a for a permit to
i
a I,Itor Building
at Lt
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
u Estimated Value of Improvements, $ 664 Fee$
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i--1 all other laws applicable to the construction, location, and use of buildings within the City of
v
Cupertino will be complied with.
w Owne 7J( Address S �¢.
By JT ZJ`a Addres S —
CONTRACTOR, AGENT
Phon L Approve
nun. ING INSPECTOR
RECORD OF INSPEdrl APPROVALS
FOUNDATION '
DATE INSPECTOR
FRAME. ^�
DATE INSPECTOR
LATH and PLASTER A
_
DA Ilk INSPECTOR
FINAL BLDG.
DA R INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. i
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
I