817 LOT NO
NO, STREET
u
Alk
L1 FOR BUILDING PERMIT
I OF,CUPERTINO
Date h5.. Permit No. V
Application is hereby made for a permit to
EM
u�( t i
a rim totjip$_ Building
at
to be occupied only as
in accordance with Plans, Spee cations and P Pel rafled her ith. ego
L
Estimated Value of Improvements,$ - Fees )
� 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 /
Cupertino will complied with.
n Owner _1v. Address ✓
w `
By Address
' CON RACTO , AGENT
Phone Approved
BUILDING INSPECTOR
RECORD OF INSPECTIONI,APPROVALS
FOUNDATION j
DATE IFSPECTOR
r
FRAME
DATE INSPECTOR
LATH.and PWTER
DAT INSPECTOR
/DATE INSPECTOR .
FINAL ELEC.
DATE INSPECTOR '
FINAL PL.BG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR