2667 r
NO. �f ataaaT 0 _ LM NO.
W Z L T FOR BUILDING PERMIT
r °
FAAOR OF CUPERTINO
< YV I 11 Sanitary• No..
U O
i s Date 196_ Permit No. c26=4 7
,. o
o c Is it to
< W yrMulp
i N a _story, �� Building
W
,W to be occupied only as
00 in accordance with Plan/specifications and PI�PJan filed herewith, oO
Estimated Value of Improvements,E lid Fee f �S
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinanm and
Z all other Is s appliable to the onstruction, location, and use of buildings within the City of
J2 Cupertinoino 1 rompl' 1s.
3F
W Owne� Address
sy Add��:j
ox
U Phone S�3' 3 Approved
yrt� Stale Ideetl3 aO1LDING INSPaCTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION' I
.DATE INSPECTOR
UNDERFLOOR' J
DATE INSPECTOR
FRAME
" DATE INSPECTOR
d PL STER
D TE ��I/L3 INSPECTOR /•" i
FINAL BLDG (rte
DATE INSPE
FINAL ELEG
DATE INSPECTOR'
FINAL PLBG..
DATE INSPECTOR .
FINAL GAS I
DATE'' IN4PECTOR