2878LOT NO.
T _
w i APPLIC T FOR BUILDING PERMIT
Y °'FG� 10964 OP CUPERTINO
z _
o Sanitary No. %
SU GG!
F `o llaz I ���f996_ Permits No._I
o App ication is hereby made for as permit to A4r 1 SCC '.L�
a
zU) a story, Type —rte Building
w to be occupied only as
20 in accordance with Plans, Specificatio and Plot-Plan filed herewith.
F; Estimated Value of Improvements, $ 0'=DFee $
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws a licable to the con on, ocati and,..t�se of buildings within rhe City of
o Cuper' t e complie wt (J 1�0,+.�
3 < 7 9 yO LS Y�uw
— a�(Owne Address
Q axB Address
U h Phonea y a N y Approved O
X State Licens _ BUILDING wsrecrO ,04
RECORD OF APPROVALS
FOUNDATION
UNDERFLOOR
AME
DATE INSPECTOR
DATE INSPFCTOR
DATE INSPECTOR
TH and P A R 09
DATE INSPECTOR
QAL BLDG. tl
DATE INSPECTOR
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR