2381 20684 ' Nancyourt COT No. 49
NO, STREET ..
® IPP�LI A 1 OR BUILDING PERMIT
Y ° C 1 P CUPERTINO
3 ` CCS3�' ''II�N 1 1963 �' Sanitary No. p
U J>rit� Ala-J I
= o Dace 196 3 Permit No.
LL w r io he foriH" rmittcr erect
ptiy 6� 643n f t ,.�;
N a Ve story,Type Frame Building
to be occupied only as Single family residence
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
0
Estimated Value of Improvements, $ /7 P Fee$ 54.00
i 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.
a a Ownerinland Em ' e ev 1 r&kddgg960 Camden Ava_ Cam„be]
N
W ' C i[n Ave.Campbe l l
W By o o/ f_ , _ �s Address
a U Phone 379-2280 PP A roved
184784 - tide
r
q State Licensr . - - BW[DING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR _2— 3 I I
DATE // INSPECTOR
FRAME p
ATINSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. 8
DATE Q� INSPECTOR
FINAL ELEC. — U
DATE r/ INSPECTOR
FINAL PLBG. G � I b �
DA)$ 7 INSPECTOR
FINAL GAS
DATE INSPECTOR
CERTIFICATE OF COMPLETION
I
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ................ .'.11•................. 19.. Building Building Permit
The Buildin Lacit )k•lL
g Yl !_.
i
IOwned by ....... _.......................... ..... .........' ....
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His Been Alteln ) 'For Use As: ,g•�_,-...r�:tti ... ......................................
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BUILDING INSPE R
102 7/63.300
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