570 (2) �eKCJ� iC�F i LOT NO.�Q�
NO. STdbLPl'!�
�/kR -L4CAY ^ FOR BUILDING PERMIT
t:
16 OF CUPERTINO ,may
Date � V 195 Permit No.._�-/ O
C� 1 ca lgr is he g EfflNtOpermit to e�
a story,Type e' Building
at
to be occupied only as
in accordance with Plans, Specificaa and Pmt-P]aTpfiled herewith. _
Estimated Value of Improvements,$ Fee$
N
� 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 be complied with.
Owner AddressZo S�GO-
By Address
CONTRACTORhAGRNT
Phone L' �i.$��o7/ Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DAT B INSPECTOR
FINAL BLDG. //2-Z' �C' • I -
77— DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR