64 �'"^ettl�>K1tM LOTNO.
V
C NSTRE
�4PPL1 ATIOnN� FOR BUILDING PERMIT
Y °- 1 CI�TiY-OF CUPF.RTIN - - - -- - -
o a JUL 2 1963 Faf�.' anitar�- No.
3 <
w o LLDate r1t9
6a ermzt -
ermitto—EQ
o i�I4Fs hereby a f!o°%ri„p
,
a
a m a story,Type�S Xao Building
to be occupied only as e� 1 x 1 f� V
0 o in accordance with Plans, Specifications and Plot-Plan
herewith.
F ; Estimated Value of Improvements, $ Fee$
oa
z J it is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J , all other laws applicable to the construction, location, and use of buildings thin the City of
d o Cupertino will lIe complied with.
3a ,q � �
_ m Own er_r2 /useve fl•d.fit Address
a By��1ef� [ d !• Address f�
a 0Phon ��s't�73-Z Approve
�. State License / Eun. ING INSPECTOR
J4��R
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE 1NSPECTO0.
LATH and YLASTE � '
DA INSPECTOR
FINAL BLDG. ' �
DATE INSPECTOR
FINAL ELEC.
DATE. INSPECTOR
FINAL PLBG,
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
I\.
I