142 �orJC 7 ` ` IOT NO.
NO. STREET
w ¢ N FOR BUILDING PERMIT
r ° ® OP CUPFRTINO
o a Sanitary No.
LL 1), (MAY 111964 196_ permit No. /-.V l
r 0
_a F A licati n i cKa permit t / +
° ` Cli1 _
i w a s r , ype /� Building
W y
Q l /
to be occupied only as �T �(! •c-C✓rf,�
0 o in accordance with Plans, Specifications filed herewith. / 90
F0 Estimated Value of Improvements, $ 706 Fee$ c5
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
� O Cupertino will be complied with.
,./W.,
W Owner
A/✓/CO Address /r(UZ7S S. //{K�N/WLA✓ g
W Z /p n ✓ /� /�A,� T S I
W
a By C:HL /V.EA.I� -�/6-Q� C'O- Address ' `
0 Phone 2 5 76 Approved
State Licens 2 ! $' Z 2 au w0 INSYECI"OR
RECORD OF INSPECTION APPROVALS
FOUNDATION - I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
. -y
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS dmL
DATE. INSPFCTOR