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LOT
NO. STREET
P�A IQN FOR BUILDING PERMIT
ve_�
ITY OFCUPERTINO
anitary No.-�DPR 2 .1963 196_ Per ii No. Zq,
li tIpfde fpr a permit to t7
astory, ype — v 1 . Fo 7Bui ding
to be occupied only as e22 T k s 42 ev�'0 N� %
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ Fee $
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 com Il�e jwith.
Owner�,�-�/e-� " Address
By
Phon
State License
Address in soal
Approved
BUILDING INSPECTO
RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
DATE INSPECTOR
DA -I -t; INSPECTOR
FRAME I
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE
FINAL ELEC.
FINAL PLBG.
INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL GAS
DA Tfi INSPECTOR
/UGac�—/ I 6 - :�,; S7-.-) _ 2. LOT NO.
NO. STREET
W z APPLICATION FOR BUILDING PERMIT
Y o CITY OF CUPERTINO
K _
o a unitary No.
�U
= o Date 2 6 196_ er1o. a L
to—
IL F Application is hereby made for a permit �vyZ7 s 45 Al
a `'� C�S%�• n Buildi
Z N / � a story, Type 4f 6 g
aW
ato be occupied only as U /✓
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith. ga
F3 Estimated Value of Improvements, $r�� d� Fee $
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
_J Z all other laws applicable to the construction, location, and use of buildings within the City of
2 o Cupertino will be complied with.
3N Owner
a By,T
< o�hon,C
75
State Licensee
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
r
FINAL BLDG. `t
DATE
INSPECTOR
FINAL ELEC.
j
DATE
INSPECTOR
FINAL PLBG.
I
DATE
INSPECTOR
FINAL GAS
DATF.
INSPFCTOR