225 (2) LUT NO.__��
NO. "' ST0. RT 1
1 SS1 A ,PLC ION F,OR BUILDING PERMIT
7 � OP CUPERTINO
Date6� �, _ 19 � Permit No.�J_ ,Z
Appli ti. .1�'HWrj6
yG42r a it o � —1/
t
' a story,Type — _Building
at O
to be,occupied only as
in accordance with Plans, SpeciGcati ns nd Plo$PIan,B ed herewith.
j Estimated Value of Improvements,$ y r--O Fee$
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.-d all other laws applicable to the constructiop location, and use buil gs within the City of
vi
CupertinVp
,gLpIiecl wish.
Owner
Address
By t Address
CON ACTOR MENPhon Approved
DUI.DING INSPECTOR /vim
RECORD .OF INSPECTION APPROVALS'
FOUNDATION G G .1t«fie_
A' INSPECTOR
FRAME
TE INSP CTOR
LATH and PLASTER --�
4111 INSPECTOR
FINAL BLDG.
DATE INSPECTORS
FINAL ELEC.
C DA/TE � INSPECTOR
FINAL. PLBG. �'
D TE INSPECTOR
FINAL GAS o
DATE INSPECTOR