49 LOT NO.
N NO. STREETCj
z APPLICATIONffOR BUILDING PERMIT
r ° F
CITI OF CUPERTI O
o j tar ND..
3 < MAY 21 1963
i LL Dare 196_ Permit
r O
' t lt rFe "ry'in'` Tra�1
ApaTawhebyma • ol (e1r
mit t _
O <
i m a story,Type I ding
W !�
r to be occupied only as
0 o in accordance with Plans, Specifications and Pl�lan filed herewith. 00
F3 Estimated Value of Improvements, $ 1 6��— Fee.$
iJ It is hereby agreed that the requirements of the Cupertino Buildi R end Z g Ordinances and
* i all other laws applicable to the construction, location, and use b ildin ithin the City of
d O Cupertino will be complied with. 33
3 ' Owne s H 6'L TE ddress
N
By /}�- Address 7
W Z
f
Phone ),� a a 44 O Al Awk�
Approved
State License_ ��/� _ �6 BUILDING II SPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAMs
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE - INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR