198 KI I l ' /'t�75`/ ///
OT NO.
NO. STREE
w APPLICATION FOR BUILDING PERMIT
s ¢
x a CITY OF CUPERTINO
o Sanitary No. (� Q
5O �j
i o llam 196L ermi[ No. ,
r
�. W Application is hereby made for a permit
o
i a a story,Type 7 uilding
to be occupied only as
.0 o in accordance with Plans, Specifications and Plot-P led herewith. 8,0
> "; Estimated Value of Improvements, $ Fee E.
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
O CupertIM
plicd
_ m Owner / �� Address
WQ.a B i E i>d Address L
U Phone Appro
State License/ S , ILDING INSPECTOR 1
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME j
DATE. INSPECTOR
LATH and PLASTER
DATE. INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE. INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adikk
DATE INSPECTOR