178 N 0 s ^E
® P�I ON FOR BUILDING PERMIT
' JU19 1 911CCITY OF CUPERTINO
Date / '7 19 Permit No.
CITYAFW'EI�h1*Tmas
for a�per�mit to l S
a story,Type e/ y ey Sllog�� Building
at ppC !!z�/
to be occupied only as !s �l�
in accordance with Plans, Specifications and Plot-Plan filed herewith. Q
Estimated Value of Improvements, Fee$ "!2-?-
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
uCupertino will be complied with.
Address
By �Or1160fAddress
7 ONTRACTOR, AGENT r
Phone _ A rove
��� `EUIh3KG INSPECTOR
REGORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER _
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR