1790 (2) 7 - 1 LOT NO.
NO. STREET].
APPLIC°ATIO, FO r BUILDI G PERMIT
s •�
/ CITY OF//CUPERTINO
Date -r 7 19i� P -mit No. 1 7 9 cl
Application is hereby made for a permit to
a �_story,Type Building
at a � c
lobe occupied only asilyytii.�0 92-Q!C
in accoidarice,with Plans, Specifications and P1otflan filed herewith. �{
o- Estimated Value of Improvements,$�O — Fee$ 2!,
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 be complied with.
Owner Address
J By Address
yV CONTRACTOR, AGENT
Phone Approved
BUUAING W$PRCTOR
RECORD OF INSPECTI ' A°P@ 0^V�4L5 _
FOUNDATION '
DATE INSPFFTOR•, ':y'_ (,• `
rRAME
DATE J INSPECTOR
LATH and PLASTER j
D E � INSPECTOR
FINAL BLDG.
D G INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
�k2i • t
FINAL GAS
DATE INSPECTOR