2799 (2) D t ^,�
L (Vr1.10LT N0.
NO. 0aT EEE 1
W �� APPLIC �I�thN FOR BUILDING PERMIT
a ' NOV 7 196 I.Gll,v OF CUPERTINO
o ' Sanitary No.
=
it n+1&1 196_ mit No. ,�;2 799
`o � Application is hereby made for ermit to
a
a in a story, p uilding
w
ato be occupied only as p p
a in accordance with Plans, Specifications andPlot. fit herewith. o O
0 o F ,C� iv'1 .?�
> 3 Estimated Value of Improvements, S �J Fee S �-/
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J [ all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied wi
3 N Owner ti 5 Address /6'¢ fr / Le
rc a By �itAddress
a Approved
li State' License 421a—* am we wsrecroa
I ,
.,tY4,• e
RECORD OF INSPECTION APPROVALS
Q
FOUNDATION
„ DATE' - rl! INSPP,Cl'OR �
UNDERFLOOR I
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. �G
DATE INSPECTOR
FINAL ELEC. I
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
s