78 LOT NO. _
N
NOQA S EfiLl
,
Ws f6'� APPLITON FOR ILDING PERMIT
Y D 1 AUG 2 3 1963crrr or cuprxTlrro
o a Sanit. A'a.�
3u
W n at 196_ ermit
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o W ��' App icati n is hereby a for er it t
c /
i In a�story, y e (' Buildin
Q W
to be occupied only
00 in accordance with KM
Plans, Specific ons an Plota�n filed rewith. �+O
F3 Estimated Value of Improvements,Scn2no 9 " Fee.$
oa
z-i 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
O Cupertino will be complied with.
Sax
Owner W u✓ TR c le ddress
W Z
76
Q axBy `/��/ / Address —
U 'hon / —t' 70 APProved
State LicenseBUI.D NG INSPECTOR
RECORD OF INSPECTION APPROVALS A
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTE
DAT INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
' - DATP. INSPECTOR
1 . ,