2919 LOT NO.
h NO. Q Et
W ¢ 14 FOR BUILDING PERMIT
O ® C OF CUPERTINO,.
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< , MAR 11 1964 Sanitary No.
5�
Date (�[ (� �[� 196 Permit No.
` a t`pbli�tiddls he1�f 91=C F�2 a it to l
i w a_..�_story, p Building
< w
to be occupied only as
0 o in accordance with Plan , Specifications and Plot-9n filed herewith. mp
> "; Estimated Value of Improvements, $�q�`L- Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
o CupertinoAl I be complied with.
3i
_ a Owner/4 Address
a n By Ado--
01 _
<U Phon Approved &&el'ez 2111
I1 State License - BUILDING INSPECTOR
RECORD OF INSPECTION -APPROVALS
FOUNDATION
DATE: INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
ATL INSPECTOR
LATH and PLASTER
onl�E � � INSPECTOR
I
FINAL BLDG. R
D L INSPECTOR
FINAL ELEC. �
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR