411 a /
Atxet i3�7
LOT NO.
NO. MEET
w AP.PLICAT O�NY`�FOR BUILDING PERMIT
° tt CGTOF CUPERTINO
o p Sanitary No.
i „ Date 196_ �{rm
F ° � I
o r Application is.hereb made fonalpermit to
=N a
,plication t)rr I Jrcetlm,, �
yp, Buildin�
< w
to be occupie ry
0 " in accordance with PI G
00
F ; Estimated Value of Improve nts, Fee E
iJ It is hereby agreed that the uirement the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to t construction, locatiop, and use of buildings within the City of
d o Cupertino w' a complied wh.
3i
_ w Owner " Address
Z
By' Address
4 0 U Phone 7 7 Approve
' ( State License iLDING INSPECTOR
Itll.
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG,
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR