1707 (2) -jib
'
- - LOT NO.
NO. STREET
AP bR BUILDING PERMIT
® FgCUPERTINO /�^
Date ne AY 1�=_, _ L Pe mit No.
Application is hereby made for a permit to
a—�'}-7FY-s% .E fl(!2 Building
1 at GLfSE4/XPi
to be occupied only as
in accordance with Plans, Specifications a Plot-PI, a erewith.
Estimated Value of Improvements,$ Fee$ !TO
N
w 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
Cupertino will complied with.
n O ,
P P
/� Owner �r Address
Yc
By Z& C— 4664,�. t� Address L.! S J�
(2' .CONTRACTOR, AGP.NT
Phone, — S�� Approved
t 6U LDING WSPP.CTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DAT INSPECTOR
FRAME /,/A/- ,—
INSPECTOR
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D plies INSPECTOR
LATH a> PLASTER
D R INSPECTOR
FINAL BLDG.
DINSPRCT00.
' FINAL ELEC. K �
D TH INSPECTOR
FINAL PLBG.
D R SPECTOR
FINAL GAS Z
DATE INSPPM OR