437. G+a�—� • ' LOT
STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
VTlorn - Rios Permit N
Application is herebma�de
a ! story, Type
r
at 1.!„�r1r=/.tWPI
tt o.
to
Building
to be occupied only as
in accordance with PI s, Specifications and Plot -Plan filed herewith. /
• Estimated Value of Improvements, $ __. Fee $, 2&,
v
v. 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
""'1 Cupertino ryiipmplied with.
CONTRACTOR, AGENT
hone if4 h 'G
,z2/, 'f3
Address �t ;z ASG .2kf
Address
Approved
BUILDING INSPECTOR
RECORD-OFANSPECTION. APPROVALS
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
INSPECTOR
f.
INSPECTOR v�
INSPECTOR
INSPECTOR
INSPECTOR