2764 aw'g 6W, LOT NO.
NO. TR"�
w 't APP.LI A,TIO� FOR BUILDING PERMIT
' X
® 1 OF CUPERTINO
3 LL (,
(Nov 13 19fi Sanitary No.
i LL Dare 196_ Permit No.
0 n'1 C � ^e
`o w p 91if ati�pFs hFr lyDrita�e7fo i permit to
i in a story,Type C2 / Building
< w
ato be occupied only as t
0 o in accordance with Plans, Specifications and Plot-Palau filed herewith. / 90
� ; Estimated Value of Improvements, $ ,�SO— Fee a C-7
oa
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cuperti``0j Will
� be -corn lied with. _
3 mX Owner°���r' C f"r�e. Address
W a k By .o t A Address •2
4
a U TPhonr Ap ve s
7 State Licensee U I: INSPECTOa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE' INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
kp&� INSPECTOR
FINAL BLDG.
DAT INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS _
DATE. INSPFCTOR