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Plan 3f1169 /
E1 TION FOR BUILDING PERMIT
® D CITY OF CUPERTINO
qq�d Sanitary No. �J 0
1JAN 2a�n 1 196 4 Permit No.
ate
CITYApp� atiofi !s{tpr�y made for a permit to erect
a -Ulr Ustto'ry,y,�'(Tyipe INU 5-1-J Building
to be occupied only as c - mi ly dwell l ' v
in accordance with Plans, Specifications and Plot -Plan filed herewith.a' 3,KLO I kt
Estimated Value of Improvements, $ 14,000.00 Fee $ .00
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 be complied with.
Addres 960 C cIen-Campbell
Address
Approved
B❑ ING INSPECTOR
1 �
RECORD OF INSPE�&IO�N +APPROVALS '
FOUNDATION.
DATE INSPECTOR
UNDERFLOOR
/-DAATE . / INSPECTOR
FRAME Y7o-`�''JC571
v/ DATE INSPECTOR
i ♦ n
DATE /INSPECTOR
FINAL BLDG. -s-� ��
FINAL ELEC.
FINAL PLBG.
FINAL GAS
NOTICE OF ADDITIONAL CHARGE
CITY OF CUPERTINO
BUILDING INSPECT
�OR'S OFFICE
Date ._. �---. ..-----. 19.(1- Permit r -.
00
L
U �Rru�l�
Amount5 --V.-..__-- Signed :............_................_._.._---..._ .��,}..-......................
IOfi 3/59-300