2758 0202 yj �/—
STREEIN
w a 7lP�P�IA ICN FOR BUILDING PERMIT
r oITY OF CUPF:RTINO
3 < NOV 4 1963 Sanitary No.3 70��
O liar " — 196_ Permit No. a t
w n
° Q1PF�?Tli�l�l
., W pplicatton is hereby made for a permit to L�Zr.• LL4'
o � _
i m a_I story,Tyke .S - H - Building
WO/✓tip ��,C
to be occupied only as ����
0 o in accordance with Plans, SpecifiEations and Plot-Plan filed herewith. 'l
F3 Estimated Value of Improvements, S V/, 0,T Fee �)a V 6•SV
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other lawsplicable to the construction, location, and use of buildings wit the City of
o Cupertino w' •b�comp is 'n
3 C OwnerAddress
a d <By � Address
02
0Phone739 Approve
MM nState License
BUILDING iNSPF. R
mil
RECORD OF pINSPECTION APPROVALS
FOUNDATION
DATE IPECTOR
UNDERFLOOR 112-13 -3
DATES INSPECTOR
FRAME /'a?/'
0y .
OnTLr:�( / INSPECTORLAT nd PLASTER / o;?
DATE INSPECTOR
FINAL BLDG. •%C= f �!_ t-L._
D T6 � INSPECTOR
FINAL ELEC. �
ATE INSPECTOR
FINAL PLBG.
ATE INSPECTOR
FINAL GAS
ATE INSPECTOR '