2732 • ..r LS[t Ak. fie LOT NO.1.24 ,
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O. S7rFt&T
APPLICATIO FOR BUILDING PERMIT
OCT :� D 1963 +CITY OF CUPERTINO 3
O n Y=-"J' Sanitary No. t
oa
3u
i 4 Date 1963 Permit No. c�
o {�
o WApplication is �ereby�made for a permit to GYG�7`
i in a story,Type- y`2 �d/vim c-ZO -Building
to be occupied only as >i ��- '�l� �/�al�M1 /-STD?y
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
F', ; Estimated Value of Improvements, $ /Z aiye Fee$ 62 2�—
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applica le to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.�/
3 m Ow ne /�JC�[�.zo Address
W
By,,,cr <�-�u- --+•f� Address
Phone E�� APProved
State License /93<09 DWG I,sp.cI"o,
RECORD OF.-INSPECTION APPROVALS
FOUNDATION /- 3-3
DATESPECTOR
UNDERFLOOR —
DATE INSPECTOR
FRAME 3—
DATE INSPECTOR
LATH nd PLASTER
--DATE ' INSPECTOR,
FINAL BLDG.
DATE / INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATEINSPECTOR "