919'/ -
LOT NO. 11a ---
PLICA—T—M OR BUILDING PERMIT
1 G 2911 I CUPERTINO
/��1
Date ����//� [C-- rrQp , 19451 Permit No.
ApQation Ohere d�RTHAit to -- — -
a story, Type _ _ Building
at
to be occupied only as_ e -�
in accordance with Plans, Specifications and Plot-Plui filed herewith.
Estimated Value of Improvements, $ ,�� i•�- Fee $ S' �D
v
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 i11 be complied with.
OwnAddress
By 4 Address
p` CONTRACTOR, AGENT
ti Phone :Z — d d'� Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE_- INSPECTOR_
FRAME
DATE INSPECTOR
LATH and PLASTER
I PECTOR
FINAL BLDG.1,1,Z
DATE INSPECTOR
FINAL ELEC. I
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR