93 /0 0 71v C' C�:ZLI.` LL-VNL ` C t I.OT NO,
N O. SJ NaeT
W ® A PLIC NFO BUILDING PERMIT
o81963 TY OF CUPERTINOa ; OCT 1
Sanitary No.
3u<
w ,� Dare 196_ � ermit No. 1�13
° CITY �� I _
Oppli ton s' ere'y made for a permit to
a � /
i U) s xer1,Type J` Cf ut
< w
0 o in accordance with Plans, Specifications and Plo -Plan filed herewith.
> m u
F 3 Estimated Value of Improvements, $ �'✓� Fee a r
o <
z J 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
d o Cuperti be complied w'
3 m Owne Address
W z
S Address
<U hon z t: / to Approved `
'<State License BUILDING INSPF.CTO
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DAl'E INSPECTOR
FRAME
DATE INSPECTOR '
LATH and PLASTER
DATE INSPF.'CTOR ,
FINAL BLDG. '
DATE - INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR