2140 O"t 1 ( I � LOT NO.
NO. ST E.T ,
z i APP�L•ICATHON.FOR BUILDING PERMIT
>_ o ({j CITY PERMIT-
-1
CUPERTINO '
M ,
o ' �/ pl,
Sanitary No.T ,
3 o
Date J L 1 101 [? 1963 , 196- .. Permit No.
o w Application is hereby made for a er IC2QQ:v '
> . I (1� rl, r2 I I�tt
a a a _ story,Typ !. — Building
w to be occupiedotily as
J2 o in accordance with Plans, Specificatio nd Plot-Plan filed her with.
,Estimated Value of Improvements,$ O 0 Fee$
.i J It is hereby,agreed that the requirements of the Cupertino Building and Zoning Ordinances and
:j all other laws applicable to the construction, location, and use of buildings within the City of
JTZ Cupertino will c plied wi
— ,a Owner --�.:e� 7 Address �'7LiCc/Tu+ee
u w z _ - 1 �: -
y a a By 1 Address \l �`'
U Phan ll 'f �j' S`rS rl Approved Com\ J
State License / BI111.ntNG INSPECTOR
RECORD OF INS PECTIOWAPPROVALS
FOUNDATION j
.. i DATE. INSPECEOR
UNDERFLOOR
• /,.0""� DATE INSP[CT4
FRAME .. : ,I,e • _
,DATE INSPECTOR
LATH and PLASTER j ' '' '�• 1'1 "' {
DATE INSPECTOR
9.
FINAL BLDG.
DATE INSPECTOR {{
FINALELEC:. •�� I
/ -,±DATE , '. . . ✓r f1 INSPECTOR
FINALPL13G. ^CLis
••Z O.j tylIr, DATE. i INSPECTOR `
..•ri.a��: �.CI•Ej�+^4.�4T=:"i :}S °J��t,� yw/ '��11�I o, ,k x . . t,�.L S
DATE ( ,1'R�'•i�•+^4./"',INSPECTOR X'