92„2 o /ec I Qt .lr2k: a” LOT NO
NO. STREET
w p APPLICATION FOR BUILDING PERMIT
'W
FIT
��C )OF CUPERTINO
O Q; 1S1ol tarn No.
'I ii 9Qf�1 "� 92`Dare_ _ :=1'- 6_ hermit _o.
o Application is hereby made for erOut to �`
a CC //��l
i in a r Y a'6r.yl�T}Re R 'r —GL'a CQ - 11, Building
to be occupied only as
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith. , 1
F3 Estimated Value of Improvements, $ ��Q Fee $�7 ey
oa
z 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
O Cupertino will be complied with.
3�
- � Owner/i"/IL .Ii1 ANS/7�f-.-yr_a A Address
W y///�N�G�St OG k�ddres- 606
a o '' 40, -
u� one �i.Sv/ 2 L APProved �t�
1 State License BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION _
DATE INSPECTOR
UNDERFLOOR
DATE _ INSPPCTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR -
FINAL BLDG.
DATE
INSPECTOR
FINALELEC.
DATE
INSPECTOR
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE. INSPECTOR