415 T
NO. STREET
z A,W ATION�OR BUILDING PERMIT
CIIJ OF CUPERTINO
3 < �iGC i 13 19S] t!Wi Sanity v �o.
Dare 196_ Permit No. -ell S'
0
LL w ltpplicatio rhe mad f ralpermit to
< '6Iiy r �eU 6!P N
i in a story, a Buildin
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La
; to be occupied only
0 o in accordance with Plans, Specifications and Plot-Plan file herewith. 0.0
> 0
r ; Estimated Value of Improvements, $ A Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will'be complied with. - �J
3 < Owner Address <-�
N
Z
Address
<U Pon ? - Approved
[L State License !}-f.U-±s!�+. _ Eutcuwc tNseecroR
RECORD OF INSPECTION APPROVALS
FOUNDATION _-
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER I
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR