2940/V V 9-2,1 ✓ �i'�/LIT l O. \ LOT NO.
N < ANO. � ST
w I FOR BUILDING PERMIT
r ° ® OF CUPERTINO
LL ���WW „
5 < APR 9 1964 sanitar,. No.
i LL Date 196_ /' Permit
� No.
a
o w OpyliceF iii't:Ii°E91�e�ora permit to C Ill a�+te c
< ^ � / /
i to story,/TO� X a– Building
to be occupied only as
0 o in accordance with Plans, pecifications and Plot-Poat� filed herewith. O
> "; Estimated Value of Improvements, S 000 Fee S (0-S—
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.
3 m xOwner AX&S 1� YO CA1.4`oyzo6Address
W a kBy AAddress Z11Wa G�
of
< U Phon _ Approve
rate License BUI ING INSPECTOR
I'S
RECORD OF INSPECTION APPROVALS
DATE. INSPECTOR
UNDERFLOOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE. INSPECTOR