1964 �/��-��JCjf.r�� ,
LT`S' 1-_\I 2�Lc
NO. • STREET '
® PP 11 • Fm B ILDING PERMIT
lieC OF PFRTINO /17 / / J
Date 95_ Permit No. 1767
Application is hereby made for a permit to
a --IL(�tor Building
at
to he occupied only as
in accordance with Plans, Specifications an lot-Plad herewith, p
u Estimated Value of Improvements, $ `10C�� Fee$_�
vIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino w' I be complied with.
v� Own ' r . ress
By /7Gc11 Addres
C ACTOR, AGENT '
P o e �� Y-7�5�>to s Approved
BUILDING INSPECTOR
y 2
RECORD OF INSPECTION APPROVALS
I.-� DA ION
� ATF U OR
FRA 1E
D INSPP.CTOR
LATH d PLASTER _ D -
DATE INSPE:CTOIt
FINAL BLDG. -: _S 3
DATE
INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE SPECTOR
FINAL GAS
DATE INSPECTOR