516 149=JLeg—
O �F ��T� SLC./• LOT NO.
NO. MET
APPLI ATION FOR BUILDING PERMIT
O C OFG�CUPERTINO
Al'
Date /I n(� ryry�� 9 Permit No. . :54
A 1ACTS lubjff' &f rrmit to
a story,Type Building
at CITY OF CUPERTINN�O II
to be occupied only as_t % - C
in accordance with Plans, Specifications and Plot-Plan filed herewith.
a, Estimated Value of Improvements,$_?�C - Fee$
u 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
"a Cupertino will be complied with.
�n Owner Address
By Address
CONTRACTOR, AGENT
Phone :3 Approved '
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION --
DATE INSPECTOR
FRAME 14
DATE INSPECTOR
LATH and PLASTER
D TE � INSPECTOR
FINAL BLDG. T
INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATA INSPECTOR
FINAL GAS —
DATE INSPECTOR