3029 LOT NO.
NO. STRE�$T 1
z ` APPL16 TI N FOR BUILDING PERMIT
W a
x ° .t C OF CUPERTINO
M _ ,
0 J - Sanitary No.
i Date 0 196 Permit No._
o /
`o Application is hereby madq-for a permit to ds��
a n a story,Type ' Building
to be occupied only as
o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> ; Estimated Value of Improvements, $ Fee$ C— C
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
o Cupertino will mplied th.
3 �
N
Owner Address
W
a By �'`�_� Address
a U Phon Approve
�v�'State Licens BUILDING INSPECTOR
i
RECORD OF INSPECTION gPPROVALS _tet
FOUNDATION I
DATE INSPECTOR IK '
UNDERFLOOR
DATE INSPPCTOR
FRAME
DATE INSPECTOR
LATH.and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. .
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL
IrlSrrcTOR