2719 I
LOT NO.
NO. STREET "
AP LIGATIdO OR BUILDING PERMIT
p
° I P CUPP.RTINO ;
°J Sanitary No.
o ,,11e D OCT 2 9 1963 196_ Permit No. /
A ,�Ircation.is 1 e�y ma¢e.foe a,permitt6
° a CI i Y Q�' lel lF�tlt l tt\I�ip
I
m a story,Type- Building
w
a
I to be occupied only as
0 oin accordance with Plans, Specifications and PI - led herewith.
Estimated Value of Improvements,$ cJ`�� Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.a Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino will be complied with.
3a �
— m Owner J I U �.. Address�d
tc a Address
O Z
a U Phone
( '/ 'J - -- Approved
91 State License 3 1/X 3,S "n't" WSPECTOR
%
RECORD OF INSPECT 10 . APPROVALS
o
FOUNDATION
. DATE "PNSPECrOR
! UNDERFLOOR
DATE INSPECTOR
FRAM17
DATE INSPECTOR
1 LATH and PLASTER
DATE / INSPECTOR /
INAL BLDG.
DATE INSPECTOR
FINAL ELEC. -
'I' _ DATE i INSPECTOR
FINAL PLBG.
DATE INSPFCTOR
FINAL GAS
DATE INSPECTOR