61 Q LOT NO.
N o. ® S�TIjt6L
W ® A -RL•It-A N FOR BUILDING PERMIT
x ° ITY OF CUPERTINO
o j /JUN 11 1963 Samtary No.
i „ Date 196_ Permit No. b
°
�. CITAipl ton r�UPds
r _ I e'for a p rmit to
oa
i ur a story,Type. Buildiniz
Q W
W to be occupied only as -It5' - -�"
a �
00 in accordance with Plans, Specifications and of-Plan Jkled herewith. 0
Estimated Value of Improvements,$4On Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws appltcab to the construction, location, and use of buildings within the City of
O Cup rt w' co," tcdvi[ .
3Q
_ m ner � Address
a -�- Address / t
L-
a U on APProveC
State License L61NG INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
ATE
IN
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR