2499 a - a�
LOT NO.
NO. STREET
zAP,PUCATIION-FOR UILDING PERMIT
0 t� �—'�d CUPERTINO �
0 '
Cl
Sanitary No.
Dace _
3 /JUL I7 19631 j96� Permit
w 4
= o
Ap feat n is hereby adefw a permi
ur ,�,�Nt- llri
i m a story, ype Building
W
to be occupied only as
in accordance with Plans, ecifications and Plot-Plan filed herewith.
0 0 ,,,_,_ ipp
F3 Estimated Value of Improvements,$ 00 Fee$
0 J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all oth laws applicable to the construction, location, and use of buildings within the ity of
O Cupertino ' I be con d with. , Q�
3 m Owner _42le Addre AJC/
a BY C2'z__6
Addirng
OI
a 0Phone. 9 Approve
State License _ lb+?. ING INSPECTOR
RECORD OF INSPECT1 PROVALS
0
FOUNDATION
DATE v P CTOR
UNDERFLOOR ' ?n 3 j
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER j
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR