51140 (2) LOT NO. '
NO. STREET
W APPLICATION FOR BUILDING PERMIT
fX
° Wl
OF CUPERTINO
C 4 ® D
o Sanitan• No.
SV
i w D; i � , 967 Permit No.
ro
o Application is hereby mayrr a permit to C_ S'r
iu; a I r Building
W firI�iaUUyf
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. /;S'a
Estimated Value of Improvements,E eb'
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
O Cupertino wi b comp lie Ith.
3 <
— 0 Owner -i-°�M• �'- Address-W- ? 7
w Z ~
a a By Address
<U Phone _ (o .S 3 — Approved P"tf o
(�- State License BUILDING INSPECTOR
l �
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DAIF. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE IN.SPFCI'OR