1642 LUT NU.
I`3R. S .T
LAPP TION FOR BUILDING PERMIT
LCITY OF CUPERTINO
APR 2 5 1962 Z
Dateg , 195— Permit No. _
CITY. sPPI .elf ade for a permit Z—
a L_JAIC�story,Type011
77� v �.d3uilding
at l3 1
f � I
to be occupied only as1 -d
in accordance with Plans, Specifications and Plot-Plan filed here
wit `
„ Estimated Value of Improvements, Pee$
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
4 Cupertino will b of plied with.
v
�BYOwner' Address O�WGG
Address
CONTRACTOR, AGENTPhone •/\ i�,- .2 -�`�-�.� Approve OR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER —_
TE INSPECTOR
FINAL
FINAL BLDG.
D II INSPECTOR
FINAL.ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
I, the undersigned do hereby certify that
I am the owner and oc upant p he sing
f mild dwelling at v eo 1.
f " which I am making_; •applicationto do
work as a hom owner.
I a s - c r i at I will not hire any
non-1 ce edor contractor,
but will do t is �v k myself.
x '41-2-3%a'.f
PHO G A