212 1 oeeiil hL . % Au It. / (DO
NO. STREET
W Z LI(J%j FOR BUILDING PERMIT
L-
r o ® C OF CUPERT
0 , qq pC, an``itary No
= 4
Date 'DEC 2 IJ _ ermP .
0
o r A licatioA{S he a for rmit to
_U a G��TY "story •
W r to be occupied only as
o `o in accordance with Plans, Specifications filed herewith. #0
Estimated Value of Improvements,$ ! Fee$
iJ It is hereby agreed that the requirements of the Cupertino Buil g and Zoning Ordinances and
i all other laws applicable to the construction, locatiop, and use buildings ithin the City of
o Cupertino v ' I be complied with.
3 Owner r _J Address
- N
a By Address 3 J
F (I
_V Phon 'O 33 Approve
$IB[[ License-- BUILDING INSPECTOR
RECORD OF. INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. I
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR