211E
a [- fZ-
I.OT NO.
?APPLI IFOR BUILDING PERMIT
(DEC 23 1964 M OF CUPFRTINO
Sanitary No.
Dat n •�•r Al -2 n1t..a'w�r►r.t 96'x" Permit No. Cz//
L u40
Application is hereby made for a permit to VOLLC'r
a t story, Type LI X 6 U rL EG'CT0 %Z i S T., #3 Building
to be occupied only as
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements; .$ $ 0 �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 build' gs within the City of
Cupertino ilLbe complied with.
t
5732
State License -?-f5
INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
j
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
AdmK
DATE. I T
INSPECTOR