154 LOT NO.
NO. STREET
W
FIJUN
PA N FOR BUILDING PERMIT
r OOE CUPERTINO
Sanitary No.
5� 161964 Al
ILL Date 196_ Fermit o. / .
r 0
Of I' n f a 'rmit to
a circ or C I
N a , stor , pe / O Building
to be occupied only as
0 o in accordance with Plans, S ifications d Plot'plan filed herewith. '] 06
> ; Estimated Value of Improvements,4 D� Fee s /
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, locatiop, and use of buildings within the City of
o Cupertino will be complied with.
3 y Owner,$,6,utSa4 M" f Address
Z
By F 1 - Address
Phone q5 Approved
State License BnILIING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DA 11: INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR