187 LOT NO. ISI
NO. STREET
w t I ? ;.FOR BUILDING PERMIT
s ° C OF CUPERTINO
Y LL
K
o AUG 2 71 196 Sanitary No..
50
= Date 196_ Permit No.
o
r y—
o < UY1 1 Udrl�h ra�Tblt fd rmi[to
i m a yr�r r wJ15toryvTvyipe} �II�S/`J�x�O t.<i✓ Building
aw
to be occupied only as
0 o in accordance with Plans, Specifi ations and of-Plan filed herewith.
�' dry
, Estimated Value of Improvements, 5 /0-V Fee E 7
O
J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiog, and use of buildings within rhe City of
O Cupertino will be complied with.
3 N Owner Address
w zSA-r�r=
W By
< ° Phone
u Approve
' q State License /Of 7 S BUILDING 1NSPF.CTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE 'INSPECTOR'. '
UNDERFLOOR r'
DATE 'INSPFCTOR ,
FRAME
DATE INSPECTOR
LATH and PLASTER ,-
DATE. INSPECTOR
FINAL BLDG. I
DATE INSPECTOR
FINAL ELEC. -
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR