1978 (2) ii oc Q,e I.or NO.
o. arae
Z PP FOR BUILDING PERMIT C�175A�5, CGJ
° ® �°ni �"' ,.OF CUPF.RTINO° ae{ Sanitary I�''cl
= n Date BSEP 2 D 162 196_ Permit No. 9 1 R
°
o � lic i fo a permit to Q 1=C�
a N a-�tJ-- �1-�story,-l-yfie� — 21 Building
ar to be occupied only as F1� _
° in accordance with Plans, Specifications and Plot-Plan filed herewith. ('�
�20 P XVI
; Estimated Value of Improvements, $ ��t d��� . Fee$ O SO
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino 41—he complied with.
3 i-
- N Ownerk A C Address �\\
Address �
Phone2
.20
r Approved
State Licensek �� �7 BnIL�INC INSPECT R
RECORD OF INSPECTION P VALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DAT. NSPFCTOR
'RAMS �� j
DA fi SPECTOR
ATH a d PLASTERZ
DATE INSPECTOR
FINAL BLDG. 11 /7113
DATE INSPECTOR
FINAL ELEC.
D TE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR