2653 -1 fill
ur a NO. n S
W
FOR BUILDING PERMIT
S a
� ° OF CUPERTINO
1pfos 3EP 191963 Sanitary No. /
i n Datne�'{�/ - p '{�, 196 3 Perpmit �/:�7 6-3
0 o CffYictt Fh IsGWE&T;1 rr,�,�'per�7mit toC:3J�Cfi
Qin a stery,Type _Q.Qi..,... �O / .� 0 f Building
to be occupied only as �a?2 r, C a_yyl/
a
in accordance with Plans, Specifications Plot-Plan
lIan filed herewith.
o O Estimated Value of Improvements, QQ` Pee$
iJ
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
J_ 0 Cupertino will be complied with.
3 < // nn
— m T Owner��gn.v✓./Gia��n Address 11O73iS`Ke I)Al
w W ' B a' /
u s y �� • Address o — .1.
a ON Phon -'
Approve
T State Licens 9611DING INSRF.Q'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION '
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR j
LATH and PLASTER
AT INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.-
DATE INSPECTOR
FINAL PLBG..
DATE INSPECTOR
FINAL GAS
DATE - INSPECTOR