3007 1 O NO.
D TR ET
1 T *N FOR BUILDING PERMIT
0 0 +.�,I JUN 2 1864 OP-CUPERTINO
Sanitary No.
= W D;�c — 196_ Pe it No.
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`o Application is tereby made for a permit to ��
a
a in a�_story,Type Building
W
to be occupied only as
a
0 o in accordance with Plans, Specifications.a�nd/JP t�� filed herewith.
Estimated Value of Improvements,S�.e.LdL.`� Fee$ . w
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws plicable to the co ni n, location, and use of buildings within the City of
0 Cupertino i complied rith.
3a
_ 0 Owner Address
WZ
W By Address
a 0 Phon L Z — —� Approved,
(� State License BUILDING INSPECTOR
i/�
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
ATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. I
DA INSPECTOR
FINAL ELEC. �
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR