2733 &�f _
N NO:
z ® XPPLICATI N FOR BUILDING PERMIT
x ° CIOF CUPERTINO
0 < (OCT 10 1963 TY Sanitary No.
W LL Date/+ t[ (� [D 196 Permit No.
'o o `A'pp cat �t is OlebPyHdT foi'a'permit to GvGGJ�
to a Story,Type J IS rp�iy/oar Building
ito be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $T_. Fee$ X57-ga
O a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of I
2 o Cupertino will be co.Iplied wi[
3 a Ownerl� + Address�d 164W 635
N
W Z
u By a Address
a PhonrA rove
PP
State License 29.2Gd9 B HLDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION —3
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE .� INSPECTOR '
ATH a PLASTER "f j
DATE INSPECTOR
FINAL BLDG.
DATE I ISPECTOR
FINAL ELEC. _
DATE NSPECTOR
FINAL PLBG.
DATE SPEC OR
FINAL GAS y /,
DATE - INSPECTOR