172 lOLOT NO.
NO. REEF
wIP AppppT���II.ON FOR BUILDING PERMIT
r o ITY OF CUPERTINO
z "
0 Q Sanitary No,
SU
i o D io ; 196_ rmit No.���
'o 17
Application is hereby made fora mit to
6
i N aCIT;KOE ReT04 r' Building
aw
to be occupied only a
0 o in accordance with Plans, ecificatioan �Plot-�Ifiled herewith. O
t', "; Estimated Value of Improvements; $ M06 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 wil be omp 'cd wit .
3 �
Owner Address
wi S
W a By AddressT Si
< 0 Phone2R Approved-
State LicenseBUILD G INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR.
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER Af
DATE - .INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR