184 OT NO.
NO. TR .
w ® AP. _LfCi(�T�, FOR BUILDING�P_gRMIT
s � t�%D
r ° OP CUPI RTINO p`j I pCi Z
50
' AUG 18 1964 nmtaryQn.
Date w 9
- — 196
I�—�o 7itqIN z°
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i LL _ Perd °+ f -�
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o gpYcatgFis Ftq(g�GRT'IfoInpermi[to L_tzGC� V�
a lTp
a w a tiif= story,Type 1S t s C_ •� 1e t A I_ Building
to be occupied only ash PIP S��A ilc� i ri G{S
> ° in accordance with Plans, Specifications and Plot-Plan filed herewith.
0o p �
> y 00
� 3
Estimated Value of Improvements, Pee.$
oa
z J It 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.
3 SHcl c'�L(
— m Owner C'� AddreseBOH.DJNG
aAddresi
RECORD OF INSPECTION APPRO�A
FOUNDATION '
DATE. INSPF,TOR
UNDERFLOOR
()A 1'R INSPPCTOR
FRAME
Dn'1'p INSPI.CIOR
LATH and PLASTER
U 1'Ii INS VICTOR
FINAL BLDG.
KEG INSPICIOR
�I
17INAL FLF.C. I
DATE INSPIfCTOR
FINAL P1.13G. —I
DATI INSPECTOR
FINAL GAS
❑A'19i INxPFCTOR