1473 (2) LOT NO
® A OR BUILDING P �" L0
n C F CUPERTINO
' Date' � �" 5— /Permit No.
h �C g,permit to
a SW a Yet'" Building
�Y YP 8
at DD
to be occuoied•oniv as \„ O� �.
in accordance with Plans, Specifications and Plot-PI filed herewith.
Estimated Value of Improvements,$��00 Fee$
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
Cupertin will be comp/ledd with.
N Owner // � Address
By_ Address_
CONTRACTOR,, AGENT (Approved'''Phone�G �2�� BUILDING INSPECTOR
___ 1
RECORD OF INSPtCTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLAST If
DA INSPECTOR
lbe3-
FINAL BLDG.
DA E INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG..
DATE INSPECTOR
1
FINAL GAS
'.'DATE INSPECTOR