179 /OI LOT NO.
NO. STREET
` L f FOR BUILDING PERMIT
r ® OF CUPERTINO
LL {gid
5 Ui gU( �,�.196A• Sanitary No.
i pate 196 Permit No.
o
o II}'cay�V�is her
1p r permit to
I 1 l,l� 11:
i m a story,Type- -P-�-( Z'`0 '/��f Build'n
ato be occupied only as
00 in accordance with Plans, Speci cations and�Plot-Pled herewith.
"; Estimated Value of Improvements, $ / Fez$ D%Y
oa
z J It Is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatio(s, and use of buildings within the City of
Cupertino will be complied with.
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1 m Owne,5" c/_L D!L Cn Address/LL .C�c C/4-cj.
w By ~ Address133 Sl•
�Y�-3Y Ap
prove
Phon State Licens :7t—
BUILDING INSPECTOR
RECORD OF INSPECTrON APPROVALS
FOUNDATION
DATE ' ':'INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DAT 4INSPF.'CTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR