194 io / & sAlc
I.OT NO.
NO. STREET 61
N e,
w a CT FOR BUILDING PERMIT
o fpf OF CUPERTINO
o , 7 Sanitary No.
OCT 21 1964 .
_ Dare 196— Permit No.
0 n`
n r is Is Ii,y,� 2(�R permit to
o a U7'�� GhUT T11I I
i Ln a / story,Type
Q W
to be occupied only as
9 o in accordance with Plans, Specifications and Plot-Plan filed herewith. '1_0F ; Estimated Value of Improvements,$ Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, locatiop, and use of buildings withi rhe City of
d o Cupertino will be compli with.
3 + I ' i i
_ m Owner y'v: 12I' � Address �a f1t
rci By��I' V t Address
U Phon O`11� APProved
State Livens "-+I _ BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION i
DATE INSPECTOR
UNDERFLOOR , ,
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER-
Y! DAT Iti SPFCTOR
FINAL BLDG.` j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR '
FINAL GAS '
DATE INSPECTOR ..