2256WA
N Q
z
NU.
fAP.PL
C
LOT NO. /
FOR BUILDING PERMIT
OF CUPERTINO
Sanitary No..y
Dat r '� APR 15 1963 --X1'96.3" 1 Permit No.
Application,is here y made for a permit to 2 C�
';' I K l;U'� �i I
a story, Type Building
to be occupied only as, -IQI_lle��
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $,(Q�1!p� Fee S�7
It 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
Cupertin will be fumpl' with.
Owne Address
By �X 'r'�N Address
"
Phone $ Approve
Mate L iccnti �/_ 5a Bnn.nING INSPL CrnH
F:�jO'
0
RECORD OF INSPECTION APPROVALS
FOUNDATION CXn
DATE INSPECTOR
UNDERFLOOR A I
D 'PE INSPPCTOR
FRAME
INSPECTOR
LATH and PLASTER T 3 1/
DA INSPECTOR
FINAL BLDG.
pj� J INSPF.C'fOR
FINAL ELEC.
(��y( DA I' INSPECTOR
FINAL PLBG.
D Tp INSPIICTOR
FINAL GAS
DAl'Ii A�® INSPP.CIIlk
CERTIFICATE OF COMPLETION
q. BUILDING INSPECTOR'S OFFICE
N CITY'OF CUPERTINO
Date ...............s!...'_.................. Building Permit No.QD-�J?
..................
The Building Located a
2! ....... ....... ...... I .. .............
Owned by ...... ...... A. A,
Has Been For Use.Ad--C"t-