2756 �a O LOT NO.
NO. $ U 6T
3 ® 97A 011 ATION FOR BUILDING PERMIT
r o �It Y OF CUPERTINO
0 y �1
3 /NAV 1 1963 Sanitary No. 9
i Date 1967
ermit No,
'o a CApj;lican isC�lepy`fn�de fora mit t�
a a�story, Pe Building
to be occupied only as
a
0 4 in accordance with Plans, cifications and Plot-Plan filed herewith.
00
> m ? OO 00
o Q
Estimated Value of Improvements, $�100 — Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other law liable tothe construction, location, and use of buildings within theCity of
d o Cupertino w mnplicd with.
3 i
— m Owner Address
W
a a By Address E
uY
a U Phon7LiLens,1
Approved
n
StaterU ��) DUII.'DING INSPF.CI'OP'
RECORD OF INSPECTION )APP OVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR \I
D.11'I. INSPFCTOR
FRAME
DATE INSPIiCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DAT INSPECTOR
FINAL CLEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTORS
FINAL GAS
/I DATE INSPECTOR
L.
Mom