2265 OC f f 12fL2 �YbW
I. N0.
/. No.
APPLICA+)�ION C1T:Y.FOR BUILDING PERMIT
p ° OP CU1pERTINO
3 APR 25 19631 Ia sanitary No.—
ry
i LL Date l96_ Permit No. cxr
� o
'o pp icati p hre� "•,permit to
a l�� 1f 4 ..r Ic ✓ v
a in a story,Type •. r.k` ��l( ncn-�- U eSde2tl 1�Oy¢BuilBing
to be occupied only as
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. .
3 Estimated Value of Improvements,$ ��O Fee$
-114
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, Igcation, and use of buildings within the City of
d 0 Cupertino will complied with. /1
3 N (Owner 2G - Address
W By �c .. Addresses
o Phonr 4— Z'ro� - Approve
State Licens �
t
BUILDING tNsreCi a
RECORD OF INSPECTNIA�'PROVALS
FOUNDATION
DATE INS
UNDERFLOOR
DA"1'F INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATF / INSP P'CT00.
FINAL BLDG. Z
DA F INSPECTOR
FINAL.ELEC.
DATE INSPECTOR
FINAL PLBG. _--- I
DATE INSPECTOR
FINAL GAS
DATE
INSPFCI'OR