2288 20661 McClellan Kold LOT NO. 4
NO. STREET _
w APPLICATIP�N FOR BML ING PERMIT
r o CITY Or CUP TINO
o .I 141: I . ., Sanitary NO. -639; 3
a i �yp
i
Date— May 3 1963 Permit No. v�eZp iJ
i- 0
OApplication is hereby made for a permit to aRCet
a
Qm a two story,Type- frame Building
w
to be occupied only,, single family dwelling
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> "; Estimated Value of Improvements, $ 20,000.00 ree.$ 63.00
O <J
zIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other Taws applicable to the construction, location, and use of buildings within the City of
d o 'Cupertino will be complied with.
3N Owner In and Empire�Qevelopers,IncAddre5960 Camden Ave.Campbell
Address
ao 379-2280 W
- � Approved
State Licensr 184784 BUILDING INSPECTOR
RECORD OF INSPECTION-APPROVALS
FOUNDATION
�YDAAT�TE.. INSPECTOR
UNDERFLOOR T'3 I DATE /�//l/�//�J�)
INSPECTOR
FRAME 61-"?1- --7 -
DATE INSPECTOR
H Dd PLASTER 7
DATE NSPI!CTOR
FINAL BLDG. —/-?- 3 - -
DATE NSPECTOP
FINAL ELEC. ✓ly-2 --
DATE 1 PI:CT'OP.
FINAL'PLBG. 1.3 3 ---
DATTEE �{ ECI'OR
FINAL GAS —1L. -
DATE - INSPECTOR
CERTIFICATE OF COMPLETIONy .
BUILDING INSPECTOR'S OFFICE
/ CITY OF CUPERTINO
Date .. ... .,ff+'3 1� 1 ' 3 Building Permit No. ...... �'T..9
j The Building Located at 1:2D =J-+� /
% s
Owned by ...... � f.... : .
Complete 7 t q
Has Been FIteor Use As: .
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702 7/(,3-500 'G,•s'= BUILDING.INSPECTOR
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