1912 (2) g4ii/O r Oo IAT.NO.
NO. STREET
APLI� ON FOR BUILDING PERMIT
CII
Or CUPERTINO
Date LVl 15_ Permit
Application is hereby ma e for a permit to
a—Gffy rjF Yf�SF Building
at lJ� � � V! ' NVI
to be.occupied only as
in accordance with Plans, Spe cations a of-Pla iled herewith.
p0
u Estimated Value of Improvements,$ /00 Pee$
y It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.a all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino complied ith.
n Owner L Address 6 Ol
y By Address _
CONTRACTOR, AGENT
Jl Phone Approved
DIA .DING INSPECTOR
RECORD OF INSPECTIO PPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER —
DATE INSPECTOR
FINAL BLDG. 1
DATE INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG. 1
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
� 1