503 LOT NO.
NO. STREET /�
APPLICATION (F. R BUILDING PERMIT
0 ! CITY OF CUPERTINO �/�
SPP l—_y , P95� Permit No. ✓2 �
t CAR ' n' ',,
cation1 he�.eb for arermit to
a_Z story,Type .J Building
LTY OF CUPERT:INO p
to be occupied only as
in accordance with Plans,/Specifications filed herewith. s,
Estimated Value of Impraoaements,$�� � Fee$
v
c 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
„j Cupertino will c co {plied with.
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Owne� Address �1O J-G /iu'f
By Address
•� CONTRACT00., -.ENT �� •
' Phone Approvedt
BUILDING INSPECTOR '
(�zt'f2zc1./gid%,S
�� "'RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
FRAME;
DATE INSPECTOR
LATH and PLASTER
,DAT' INSPECTOR
FINAL BLDG. 'q(`
DA'rr INSPECTOR
FINAL ELEC. • -
•}' DATE INSPECTOR
\y4 Y�11 -
'JINAL PLBG.
DATE • INSPECTOR.
FINAL GAS
DATE INSPECTOR
I