2110N Q
wz
NO.
DEC 21 ]962
Dat ,
CIlY at pp.S
1 U1LSh
to be occupied only
LOT
FOR BUILDING PERMIT
OF CUPERTINO
Sanitary No._
96_ n Permit No. �, / % O
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ Fee $ c
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appli ble to the constructi n, to ation, and use of buildings within the City of
Cupertino l c lied with.
Owner Address // s
gyt Address '
Pho / Approved
State License - aun.nINc INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE' INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE