2501 ao9 aiad LOT NO. /
N a NO. r$T��T
rAPPLICATIOFOR B DING PERMIT
r O CI OP CUPERTINO
o i IJUL 17 1963 — J Sanitary No.J
= LL llate 196_ ermit No.
0
of A IiThonlislherrby.in�aHeiorapermit to
a
i w a story,Type Building
a w
to be occupied only as
0 o in accordance with Plans, Sp tfications and%Plot-Plan d herewith.
,, ": Estimated Value of Improvements,$.�,�OD�=�+. Fez$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws appli ble to the construction, location, and use of buildinggs within the City of
- 0
Cupern ill be can lied ith
Addre>� J
_ m Owner -
w W By Addre 12
< 0 phon
Q
.2 16 9 9�7t Approve
State License/ BUILDING INSPECTOR
RECORD OF INSP�CTI b APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE ( INSPFCTOR
27
FRAME � - -3 j
onrE .YXIdY INSPr[roa
AT J PLASTER to m
DATE INSPECTOR
FINAL BLDG. j
x�
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE' INSPECTOR
FINAL GAS
DATE INSPECTOR