2210 NO. MEET
W APPLICATION FOR , ILDING PERMIT
r ° i CG Qr; CUAI RTINO
o a Sanitary No.
30
r o Date r 1 B b v^ 16 Permit No. ` 1 0
4 ^/A"'p)plication isr reby made for a permit to (a,
a a a VIT1`lest y� TRt — Building
to be occupied
�,0 y as
0 o in accordance with Plans, Specifications nd Plot-Plan fjled herewith.
coo
> C � 6—G—���Ov`, Fee$ O
� g Estimated Value of Improve e` s, $ 1
z°J It is hereby agreed that e r irements of he Cupertino Building and Zoning Ordinances and
z all Other a s applicable a const ti lobation, and use of buildings within the City of
o Cupertino wi n w th. w
3 m Owner Addre S
wZ
By 1 A dr4x o t
AdMgR
P Ap
BUILDING
S[ License 4
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE: INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME " 16-- 3
DATE NSPFCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE `/ a INSPECTOR
FINALELEC. -
DATE 1.
`/ INSPECTOR
FINAL PLBG. (, ' Y I -
. DATEINSPECTOR
/ - /
FINAL GAS / . / / 41_
DATE ' INSPECTOR