1622 (2) NO. A STREET
�� R. BUILDING PERMIT
r' CIC�I CUPERTINO
Iftno1962 �aDate 1 5_ Permit NO.
a-'�plication Is hereby made fgr� 1to
st Ia•YF' uca Building
Cra
(�n at
c to be occupied only as
in accordance with Plans, Specificat Plot-Plan filed herewith.
„ , Estimated Value of Improvements - -O r � ,Fee$ G Q
�• !
u 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
Cupertino will be complied with. - r
Y
' in wner / �
01" - Address
!F3 zC¢ �I-
�LaFa' Y/ Address
CONTRACTOR, AGENT
Phone f�� � ' 733 sApproved
.... b}: BUILDING INSPECTOR
Oji/Z
RECOR F INS 110P1p AP : OVALS
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FOUNDATION _
A ;} INSP..CTOR
FRAME z7 1i
DAT - :INSPECTOR
LATH and PLASTER _
DATR INSPRC'1'OR
PINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
•FINAL PLBG. �
.
DATE INSPnCTOR •:x�j ••�
FINAL GAS
DATE •' INSPECTOR f �.
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