1877 LOT NO. T'�
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OP/ CUPERTINO p
Datc_��.�� 1930�-' Permit No. �O
Application is hereby made fora ermit to
a story,Type Building
at
to be occupied only.as
in accordance with Plans, Specifications and PI plan filed herewith. V
N
Estimated Valuc'of Improvements, $ �.J' Fee O-L_7L
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 be c plied with.
Owner 2-mor-. ��Address
By ' -Address
CONTRACTOR, AGENT
Phone Approved
BUILDING INSPECTOR
RECORD 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