2890 16221 1 OT NO.
w ¢ W APPLICA I „FOR B_ �IIG PERMIT,-,
r D !FEB 27 1964 .. �4 of cuPavrrJgf?n r ti
� LL
0 ' /• t/�Sini�icy No. �3
5 U I�ntd Ys-YiDi'GS4'ras(I t 6..—..;r196��L perm�d;Nti.`� `� ^�
= qI
o WI I I Ti�F,Tf I&TUN
o Application is hereby made for a permit l
tom it
a e y
a a a story,Type — *<�*• riuildiQngg
to be occupied only as '� ��� A�j 4A
2
00 in accordance with Plans, Specifications and Plot-Plan filed herewith, a9yb
t', ; Estimated Value of Improvements,S ak'tgo' co Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
2 o Cupertino will be comp ed with.
3 m Owne PIXO �r//s Address ��• �'�ur'S'r�
W z
� a By � � n �,e��- Address ;&G
a PhonPLS��OS37 Appro
State License X0.5-� 7r _ e DING INSPECTOR
"RECORD OF INSPECTION APPROVALS
FOUNDATION
DATF. INSPECTOR
UNISERFLOOR '
DATE INP 1 OR
FRAME
E INSPECTOR
LATH and PLASTER
. DATE INSPECTOR
FINAL BLDG.
DATE I ECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. A rn� n. y•
�I ECTOR \
FINAL GAS
DATF. PF.CTOR