114 101!�Kz 'LOT NO.
N Q NO.
w a F
N FOR BUILDING PERMIT
x o I OF CUPERTINO
o a JAN 2 8196a Sanitary
50 //
i n Date 196_ it No.
'o CI.TYpli0a �on AIPGRI e��or a p rtfiit to
U) a z stor Tv Building
w
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-PP�.'bfiled he ewith. O 0
F3 Estimated Value of Improvements, $ �m0 Fee a�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
� o Cupertino will
e ccornn lied ww,ithe.
3 XOwne�=L � "^" 7 (7 wCIQ s P� Address -l's ffrL'
w Z
a a< By )(Address
U '�Phon ^� j Approve
state Licens _ Buu 0 1NSF'F.CTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE „ INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE: - INSPECTOR