2885 (2) LOT NO.
N Q NO. ® K, EIT II \ �l ZC?Q
w p APPLIGATII FOk BUILDING PERMIT
OF CUPERTINO
T7 2
5 a FIFEB 191964 % Sanitary No Ll
U
i LL Daterag /l 1964 Permit No.
~ ° IPPS U' hri�e6?Eff
� F llcat Is efora permit to Gc.vsrle l,z.r
oa
i In a I story,Type ficer ¢ t/ S fu ce o Building
to be occupied only as S1011,0 rn ws:L. O w v.r l 1 Nr;
o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
N 0 0
t- ; Estimated Value of Improvements, $a� y, OO O Fee$
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, location, and use of buildings within the City of
J 0 Cupertino will be complied with.
3 N Ownnerr Dad it a I�eoat' vlavr(-Address-SJO Sa k?A*ILhA
W a By
s✓ �. Address i o a,� /lv� SV-Ve4
<U Phone �� 9'SSG�
�J Approve
2 State Licens /"` �� _ BNL ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION '
DATA / INSPECTOR
UNDERFLOOR '
DA rE INSPECTOR
FRAME
DAt'R INSPECTOR
LATH and PLASTER If
DATE INSPECTOR
FINAL BLDG. G " p')
DATE �( INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
pg7E INSPECTOR
FINAL GAS
INSPECTOR