673 Q o LO] NO. (GLS_
NO. STREP.T
A _PPP LICktI
O1�1'(
OR BUILDING PERMIT
® CUPERTINODate r(A ,1. QR5_ Permit No. (D
A pplicttion is hereby made for a p it to .
a tor
CITYa� CI tYI?e T1
r T _ . I Building
at
to be occupied only a
in accordance with Plans, Specifications and Plot-Plan filed Ierewith. O p
Cr Oj
Estimated Value of Improvements, $ Fee$�7
cIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
ell oder Inws applicable to the construction, location, and use of buildings within the City of
w- Cupertino will be complied with.
y �h r Q� 03
;". Owner fel / ��'�-/ Address �
By Address
4 CONTRACT00., AGENT
Phone // �- —.�— /.V r�'0 Approve J
But DING INSPECTOR
RECORD OF INSPECTIOPJAPPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
nre I SPECTOR
FINAL BLDG. I
ATA INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 1
DA'PE INSPECTOR
FINAL GAS 1
DATE INSPECTOR