2823/a416 L{ h.i ,q - e;7- LOT NO. 6
N T ^� Plan 1462
W Z APPLICAT FOR BUILDING PERMIT
¢ JAN 21 1964 �/�
2 ° � Cl A OF CUPERTiNO
a 4 _
0'
�'
� Sanitary No.
5�8a3Date I I 5 — — 196.E Permit No.
° l mj
4 r Application is hereby ma a or a permit to erect
oQ
N a 1 story, Type 5-1—J Building
w
to be occupied only as Gi ngl p family durpl l i ng
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
"; Estimated Value of Improvements, $ 17.600.00 Fee $ 54.f10—
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, loca[iop, and use of buildings within the City of
O Cupertino will be complied with.
3 < Owner Inland p x -e Develoners Address 960 Camden -Campbell
N
a By AW Address Sad 4f
<u Phone 79-228C
Approve
Q State License BI DING INSPECTOR
i
� 0�eli- RECORD OF INSPECTION APPROVALS
FOUNDATION
UNDERFLOOR
FF/R�,A,,MEE
CXTH'aDSTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE NSPECTOR
DATE INSPECTOR
DATE
INSPECTOR
�
DATE
I INSPECTOR
t
TE
INSPECTOR
ESTE
INSPECTOR
DAW.
INSPECTOR