413 4.203 //
G
NO. STILET
z 55
APIKICATION FOR BUILDING PERMIT
r o ��(CITY OF CUPERTINO
01 OCT 11 1967 tr Sanitary No.
5 U 4' 3
= LL Date 196_ ermit No.
o CITY r !r'IJ rrrt,t .
`o Applicati ,'j hS d'e for a permit t
6
'z r, y Building
In a tie sto
< wM
to be occupied only
0 o in accordance with Plans, Specifics ns and Plot filed herewith. �,0
> ; Estimated Value of Improvements, $ QQ Fee St*-�
oJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the cons t on, locatiop, and use of buildings within the City of
d O Cupertie con plied Ivith. ,
3Q
< Ow ddress
Ce a By Address
'
<U Phon O Approve
`` State Licens 11. ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR j
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
t
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. j
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR