324 (2) 71 LO
NO. STREET /
APPLICATI N FOR BUILDING PERMIT
CITY OF CUPERTINO
O
D 195_ Permit No. 3,�?
�i Roa)tph9R}�yytia19apermitto� �
GG 9 ..i�..rraa
a ,/story,Type i • ilding
a PITY OF )'
FRumn
to be occupied only as—
in
s in accordance with Plans, Specifications and Plot-Plan filed herew' h. �;o
mo
u Estimated Value of Improvements, $ Fee$
y 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
"-I Cupertino will//be//complied with.
v Owner QdOoc� /-fir CU• AddressAV / ✓avrlse f' �,�
Tr
By %tom Address
CONTRACTOR, AGENT / +
Phon — �cf d Approved ` -L-.•�.�,o�c
B LDING INSPECTOR �itJ
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAMI7
DATE INSPECTOR
LATH and PLASTER
ATE INSPF.C ' R
FINAL BLDG.
ATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
i