51028 aae /7i[A &T LOT NO. I
NO. STREET
w }fPLI�Y?gT N FOR BUILDING PERMIT
20MOF CUPERTINO
o aSanitart• \o.
Date IJAN 21 1965' 6_
° �"REr'T
�. � A lication is hereb�made for a permit to
zU) a C� OFStG,,,Iyf RTIN
< A Building
to be occupied only as
o_ o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> N ,
Estimated Value of Improvements,$ "a Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z I other laws appl iable to the construction, location, and use of buildings within the City of
2 o_ upertino will 6e compliQd with. •
w
w Address
¢ a
Phon
Approve
rate License BUILDING INSPE TOR
it
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE: INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME j
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG. j
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR