51146 (2)0
NO. STREET
W APPLICATION FOR BUILDING PERMIT
fa
o CITY OF CUPERTINO 39
R n Sa tart' No.
O
W LL Date 196 F�rerrmit No. r�Q� sem/ 6
o Application is hereby made for a permit to </l'O.r/ �f/PE7auEibr?
a 'J
ito a_story, Type/ - F-�l7 /NX EXTWiiYL5uilding
a w I /l i — o i /7, --y-
ato be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan�bd erewith.
Estimated Value of Improvements, $mod —. Fez E���-S
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, locatiop, and use of buildings within the City of
d o Cupertino wil a compl' d with.
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Owner Add
ress
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—6aPhon Approve
pL�INSPECTState Licens
.
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR J
FRAME
LATH and PLASTER
DA'Z'E - INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE. INSPECTOR
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR