89 CS <�y �yfV�t S EET
�AMP&1jrf�_ FOR BUILDING ERMIT
It o ® I¢jl OF CUPERTINO
3 l OCT 4 1963 Sa i N°.
i 4 IJate 196_ mit
o ^
4w at' Is 2 YVERFfa1per it to o./t-Q
i to astory, Building
ato be occupied onlyaV-1-t
0 o in accordance with Plans, Specifics ions/a�n-d�Plot-Plan filed herew .
Estimated Value of Improvements, $
oFee
Ordinances and
<
z < It is hereby agreed that the requirements of [he Cupertino Building and ning O
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino well com li d wi
3 I �f �¢ r >,s T I
_ m Owner /U£ Address
W z Jt.4•ti i•v a S•I s.v.r
W a 36y �fCa2 QlJn 2.. ddress
<U hone ��/ S S '7 3 v Approved LLQ"
qq�� 7.11ate License BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE* INSPECTOR
UNDERFLOOR
DA'I'S - INSPECTOR
FRAME
DATE - INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC .
DATE . INSPECTOR
FINAL PLBG. _
DATE INSPECTOR
FINAL GAS L
.DATE INSPECTOR