2776LOT NO
NO. STREET
W Z s�PbleA ON FOR BUILDING PERMIT
Y ° OF CUPERTINO
9 a r. Samtary No.
S U /
UaQV 1 963 196_ Permit No. 74
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LL W C� lic&n i her made for a permit to
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zz N a sfo `J Building
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to be occupied
0 o in accordance with Plans, Specifications and
nnPlotoPl4n filed herewith. Oa
3 Estimated Value of Improvements, $ Fee $ �^-
z 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
O Cupertino will be complied with.
Owner ` Address 7 ice
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a n B Address iq 7S -
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0 -If Phone // O 6 Approved '
^ x State License 16Z: 7 K -,j v 'BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
TE INSPECTOR
DATE I / i INSPECTOR
DATE/ I INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR