1814 / D LOT NO.
NO. STREET 0
APPLICATION FOR BUILDING PERMIT
5 CITY OF CUPERTINO
• r
Date 191 er it No.
Application is hereby ',permit to
a story,T pe �ilding
at
to be occupied only as
in accordance with Plans, Specifications and Plot.-Tan filed herewith._
Estimated Value of Improvements,$ �' Fe/$ �
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable the construction, location, and use of buildings within the City of
"'1 Cupertino will be compli w th. �
(i Owner - Address
T
BY Address
CONTRACTOR, AGENT
Phone 3`10.9 L Approved
Burtl5iNG INSPECTOR
RECORD F INSPECTION PRO LS -
FOUNDATION "
DATR {.;.�NSPLSN
FRAME
DATE -IN CTOR
LATH and PLASTER 1
DATE INSPECTOR
FINAL BLDG. °
DATR INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
i FINAL GAS
DATE INSPECTOR