2972 r t
•7 I z •/ LOT NO.
9(0
o. m 5B I 300
NI•FOR BUILDING PERMIT
� o R 211964aIT: OrCUPF.RTINO
5 a Sanitary No. �
0 nn —
i LL Done !L6 , 196 9 Permit No._p[�
0
o r C1 ph Ion 1 ere y made for a permit to (76♦l5;
a
zN a 1:911/77P STV! LO
a w 2 story,Type Building
a ` to be occupied only as S/611.L..O 6d A7/e. q /—a 5 io egt c e
J 4 '
0 o m accordance with Plans, Specifications and Plot-Plan&d herewith.
Estimated Value of Improvements, $a G00 Fee$ • 0 0
z 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, locatiop, and use of buildings within the City of
o Cupertino will be complied with.
3r
— N Ow er C4. C<� AddBddress
0Phon �� — APProvState Licens � BUILDING INSVF.C'1'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION —e7l— �
DATE. - INSPECTOR
UNDERFLOOR
DAI'F.' INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
1
FINAL BLDG.
\
DATE i INSPECTOR
FINAL ELEC. i '4 r
DAT INSPECTOR
FINAL PLBG.
ATE INSPECTOR
FINAL GAS
DAT INSP F.C'1'OR