2958 a2oi - 37
LOT NO.
m 0.E
W a A 1 FOR BUILDING PERMIT
r °
ff,(,APR 16 1964 ' O CUPF.RTINO L�OZS
z u
o a Sanitar 10.
SO
i o Dat x1,96_ Permit N .
o Tpp icatwn is herUF e y made fl r a permit to
a
z m a story,Type Building
a w
to be occupied only as o f- �-
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
3. Estimated Value of Improvements,S to,000, 00 Fee$ 63- 04-2
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws appliable to the construction, locatiop, and use of buildings within the City of
� O Cupettmoo *111 be complied/w'th.
3
Owne t✓� Address
_ N ��t-
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� a
B Address 4
O F
a U tate Approved
State Licens S-o2 7 aul G INSPECTOR
RECORD OF INSPECTIfIN APPROVALS
FOUNDATION ��
#-DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME --'S'
DATE INSPECTOR
6i;),
ATH d PLASTER -23^ I
DATE 1 INSPECTOR
FINAL BLDG. ow,
DATE A INSArSOR
r
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
ATE INSPECTOR
FINAL GAS
INSPECTOR