930LOT NO.
LCf SEP, 1 ATION FOR BUILDING PERMIT
CITY OF CUPERTINO
C Ur CUP
Wby
—, 19� Permit No._
11 �� 11 Application is ma e for a permyAo [:Lc"�'
a—_ -story, Type
at
Building
to be occupied only as_(_ ,/'L C2'>z
in accordance with Plans, Specifications and Plot?Plsn filed herewith.
Estimated Value of Improvements, $_:� " Fee $ "
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construe on, location, and use of buildings within the City of
Cupertino will be complied tyit.
1 )m/J / �-
By_ Address _
CONTRACTOR ENT
9 �� –Phone Approved = 7-
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER _ ---
DATE INSPECTOR
FINAL BLDG. a
DATE INSPECTOR >
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE. INSPECTOR
DATE r INSPECTOR