2193 LOT NO,
NO. STR[ET
z APPLIC,�TI�C W-bll BUILDING PERMIT
s ITYs OF 3� CUP\ ERTINO
x- \� Sanitary No.
W o Done 196_ Permit No.
r 3,
o Application is hereby made r•a gerfnit t
aa TC//�
to a story,TY9e' � Building
a
r to be occupied only as n
0 o in accordance with Plans, pecifications and Plot filed herewith. �•�
Estimated Value of Improvements,$ . 7 L/!! err+ Fee$ 1.!5-
0 q
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 buildings within the City of
o Cupertino wilLbe complied wh. ,, Q
3 F
- aO �� �� .,,-� Address Gti(S`�4/�`� •.
wne . .
W a By Q Address
a U Phone9.2_ pproved
-
A
State License
LDING INSPECTOR
RECORD OF INSPECTI N APPROVALS
FOUNDATION
DATEt INSPECTOR
UNDERFLOOR a
DAT 1'. INSPECTOR
FRAME
nnrr: INSPECTOR '
LATH and PLASTER
>?4&
ODATE�
INSPECTOR
FINAL BLDG-J4
INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
"h