2842 /o '7-a O�, LOT NO.
NO. STR
w z T FOR BUILDING PERMIT
E O ® L;
„ OF CUPERTINO
< l JAN 2 9196A sanitary No.
3
_ D,rce 196_ ermit No.
O T /.
o r CP.PYcaGFis Mn`(�dP®RTeIfrZit to i
a
zz m a story,T e Building
a w
to be occupied only as + �
0 o in accordance with Plans, Specificatiq and Plot-Plan fil erewith. o
F3: Estimated Value of Improvements,$_,14 6 Fee$ o2
o a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the constr tion, for n, and use of buildings within the City of
d O Cupertino wiltbelsorn ied wit
3 < r
_ w Owner Address
w z
ca a By Address
07
a U Phon, Approved '
State Lice ns BUILDING INSPECTOR
l
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
ATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR