2291 20631 I -MrClellanjRcit LOT No, 7
NO. STREET
z z APPLICATIrN. FOR BUILDING PERMIT
Y °
¢ LTY OF.CaUPPRTINO
— I
, �. .i 1 1 4— Sanitary No.-�
w 1),n, May 3. 1963 196_ Permit No. ?�a9�
4
oApplication is hereby made for a permit to erect
Q
a
in
a one story,Type `frame-. t: r.- i _ :C Building
mbeoccupicdonlyas single family dwelling
'o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
3 Estimated Value of Improvements, $ 19.000.00 Pee$ 60.00
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zIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
3a
_ 0 Ownednl Em ire Develooers,Inc Address 960 Camden Ave. ,Campbell
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a By A " /li..r-��,i� � Address X?Aim..
a u 79-2280 Approved
ate License 184784 BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION ' .3010^ 3 1
DATE INSPEC'Dk
UNDERFLOOR I7-3
DATE INSPPCTOR
FRAME
DATE INSPCCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. --
DATE INSPECTOR
FINAL ELEC.
TE _ SPECTOR
FINAL PLBG. ��� 31
DATE INSPECTOR
FINAL.GAS
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ........ ...................... 19.1� Building Permit Noa�W. ....
. ........ ......
The Building Located..at
................
Owned by c
..........
0
r Use As: ..............
Has Been<�
(Altered)
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102 1163-500 BUILDING INSPECrOR