1293�OT NO.
N n
4C,�AT d FOR BUILDING PERMIT
AUG 17 1961 OF CUPERTINO
Date 195_ �ermit No.
'�pyic is C�rl�50�V
permittotC77__ii�tt�iG�wa story, Type cBuilding
at
to be occupied only as J
in accordance with Plans, cifications and Plot -Plan filed herewith. p p �/
Estimated Value of Improvements, $ Zo 0 Fee $
It is hereby agreed that the requirements of the
all other laws applicable to the construction, loc
Cupertino will be complied with. /%
Owno1�•�Y- z4zL /
By
CONTRACTOR, AGENT
i 1' one
Cupertino Building and Zoning Ordinances and
ation, and use of buildings within the City of
Address
Address
Approv
BUILDING INSPECTOR
11 RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
LM IT,
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
INSPECTOR
DATE
DATE
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
r - • 11, the undersig*:d do hereby certif„v that I am
the owner and occupant of the single family dwelling at
for which I am *making
application to do -Work as a home owner.
I also certify that j will not hire an- non -licensed
or contractor, but will do this work myself.
TEI,HORtE 1�IJPRa
SIGNnTURE