173 NO.NO. STR ET
W L T4ON FOR UILDING PERMIT
r ° (CITY OF CUP[RTINO
tr g y .
5 ' JUL 10 196a L' SanitarNo
W LL Date 196— P rm .No. r
0
o a CicQe is rfol ermi[to
i Ul a I I s It pe 4Building
ito be occupied only as
J 4 in accordance with Plans, S cifications a td Plot- n filed herewith.
00 J !L
� ": Estimated Value of Improvements, S Fee a �—
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, locatioe, and use of buildings within the City of
d o Cupertino w' be com ied wit .
3Q
_ N Owner roti 9 Address
wz u
a s By Address 2 - t S f l
am
< Phon 5 3 73 Z_ Approved
State Licens q�7
iiUMNIM INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPFCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. - 3- /
DATE INSPECTOR
FINAL ELEC.
DATE. INSPECTOR
FINAL. PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR