431 Z O '7f � �� LOT NO.
N01/� STREET
w A/eII5IQN FOR BUILDING PERMIT
° 'cl® Fes+ 't' LF CUPERTINO
o a tf31 Sanitary No.
5
U
i llate 15 1967 -9 Permit No
o
z N a ApR�i> V n(i�k hereby mpadee or a permit to
(�' 1 3y T} 2 ��T 1 v �' Building
to be occupied only as cA4 /tW cam( -.SST rs•`7'�0_
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
c*z
Estimated Value of Improvements,$ /0� Fee$ 7
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
Owner Address
W
a By Addres y•a 4'rr k7•�
us _
4 U Phone — Approv
State License LDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE: INSPECTOR
LATH and PLASTER -
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR