1270I k'
�ZU�T NO.
NO. STREET
I OR BUILDING PERMIT
C F CUPERTINO
Date 4%1?rmit No.—/� /—
Application is hereby made for a psrm,t to
a( -���rY, ' R 1 Building
at
to be occupied only as
in accordance with Plans, Specifications and Plob&�n filed herewith.
,e�
Estimated Value of Improve s, $ .�SSO Fee $
It is jaereby r d t t requirements the Cupertino Building and Zoning Ordinances and
all othd� �c le the construy on, location, and use of buildings within the City of
By Address
CONTRACTOR nji?]T
phone ,/(�3 C/,�) Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION _ I_
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS I
DATE INSPECTOR