100022 (4) 11
I�0 1 � O q 1 l
� , .4 w LOT NO. 177
NO. STREET
I ALF
FOR BUILDING PERMIT
F o OF CUPERTINO
YLL
° ' IJAN — 7 196'5 sanitary No.
5 <
96 "n it No. /0 d 0 2,
' O 7[�6 �d .eZC'Ae L
o a CI I'Y li��n iVv � � a permit to
z a a 1i �tJyG sttoorr T` a Building
aw
w x to be occupied only as QaA t 2
a
20 in accordance with Plans, Specification and Plot-Plan filed herewith. O
� ": Estimated Value of Improvements,S d�oo Fee$
o <
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
2 O Cupertino will be complie with.
3 � Owner Address
w Z
a a By' Address
jA U Phon - 17,9 - Appr
ft7C State License BUILDING INS"R
RECORD OF INSPECTION APPROVALS
FOUNDATION _
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR