434 J &-,4.,, ;-) V4,_� I�(3dd
NO.
NO? STREET
W APPLICATION FOR BUILDING PERMIT
s a
I ° p �1 OF CUPERTINO
o < ® Sanitary No.
zibi
r `o Date I 19 Permit No.
�.Wlyuv 13OApplication is hereby made for a permit to —�i��✓�
a
zm a�12]L6ty, 'o Building
a w l���l �l �l UU
to be occupied only as
o 'o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ /�Clots Fee$ 7 rn
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J o Cupertino will be complied with. aa
. Owner r � �=� Address l�f�
W By � '�— dres 6 Ye. �
a 0 Phone � _ Y _ Approved '
r State Licens IrDING INSPECTOR
` J
RECORD OF INSPECTION APPROVALS .
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
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