221 a +/ O � LOT NO,
NO. STREET y'
wPL
TION FOR BUILDING PERMIT
20 OF CUPERTINO
LL
O < Initar{' X10.
50
i LL Da 96_ t No. a
r 0 F�o Application is hereby tle fo a permit to
i a CITY OF Building
a W
to be occupied only as
in accordance with Plans, S cficationsdPlot filed herewith//
�- p
Estimated Value of Improvements, $ 411.0n Fee$__
O
J It is hereby agreed that the requirenne ts?of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the const ctron, locatiop, and use of buildings within the City of
d 0 Cupertin w' I b ompl'
3 < Ss�•
_ � Owner Address�2. �
w z
W WBy Ad
¢ a
Approved
1 I State Licens BUILDING INSPECTOR
RECORD OF -INSPECTION APPROVALS
FOUNDATION
DATE - INSPECTOR
UNDERFLOOR j
DATE INSPECTOR
FRAME,
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR