631 (2) LOT NO.
NO. STREET
III 10 FOR PERTIN BUILDING PERMIT
vjl-�
P CUPERTINO
Date95— Permit No.re�by made or a permit to
a Story Building
at CITY. Lu;t
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
o G
Estimated Value of Improvements, Fee$
___f2�_
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
;.a Cupertino will be complied with.
Owner aGs�" Address �• �
B at-O oV.Gl�cy
y S. Address/P�/,
� CONTRACTOR, Af,P.NT
Phone CGe, ®?-�'7 C Approved
` BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME -
DATE INSPECTOR
LNVIOB
and PLASTER
DATE INSPECTOR
�LDG. _
ATE INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS S
DATE INSPECTOR